Contract Details
Fast Pace Medical Clinic, PPLC
Facility name
FastPace Behavioral Health
Provider ID
P000000001
Tax ID
270851352
Effective Date
3/1/2023
Last Updated
12/19/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
9932 Spanish Fort Blvd
Daphne, AL 36527
United States
Phone
251-237-8181 (Phone)
Billing Details
Address
9932 Spanish Fort Blvd
Daphne, AL 36527
Billing Phone
251-237-8181
Specialty Type
Counselor - Professional
Website
Visit Website
Map
Address