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Contract Details
Facility name
Psych Partners
Provider ID
P000002355
Tax ID
591133841
Effective Date
8/15/1996
Last Updated
10/7/2015
Direct Contract
Yes
Term Date
10/7/2015
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_107
AM_107
Location Details
Address
1900 International Park Drive Suite 220
Birmingham, AL 35243
United States
County
Jefferson
Phone
2059676650
(
Phone
)
Billing Details
Address
1900 International Park Drive
Suite 220
Birmingham, AL 35243
Billing Phone
2059676650
Specialty Type
Psychiatry
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Address