NPI 1114937950

Concerned Citizens for Our Youth, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jasper, AL

Practice location

Address: 1200 Beacon Lane, Jasper, AL 35504
Phone: (205) 384-4539
Fax: (205) 384-1496
Mailing address: PO Box 852, Jasper, AL 35502-0852

Authorised official

Name: Phyllis a Cook
Title: Executive Director
Phone: (205) 384-4539

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 000373 (AL)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Alabama →

Registry record

NPI: 1114937950
Entity type: Organization
NPI issued: 8 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.