Provider Demographics
NPI:1902926884
Name:W.I.N.N.E.R.S., INC
Entity Type:Organization
Organization Name:W.I.N.N.E.R.S., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:RALANDA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-458-3604
Mailing Address - Street 1:8800 THREE MILE RD
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:AL
Mailing Address - Zip Code:36544-3334
Mailing Address - Country:US
Mailing Address - Phone:251-824-1585
Mailing Address - Fax:251-824-1856
Practice Address - Street 1:8800 THREE MILE RD
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:AL
Practice Address - Zip Code:36544-3334
Practice Address - Country:US
Practice Address - Phone:251-824-1585
Practice Address - Fax:251-824-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility