OrganizationActive
Clubhouse Autism and Developmental Center LLC
NPI 1912570797 · Speech-Language Pathologist · Jackson, AL
Provider details
- NPI number
- 1912570797
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Savanna Williams, Owner(251) 751-1687
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1001 College Ave
Jackson, AL 36545-2402
Phone: (251) 769-0021
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 759
Chatom, AL 36518-0759
Registry dates
- Enumerated
- 2021-07-20
- Last updated
- 2021-07-20
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.