NPI 1295064269

Camellia Therapeutic Foster Agency LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Phenix City, AL

Practice location

Address: 407 S Seale Rd, Phenix City, AL 36869-7304
Phone: (706) 392-3331
Fax: (334) 298-8599
Mailing address: 407 S Seale Rd P.O. Box 788, Phenix City, AL 36869-7304

Authorised official

Name: Joseph Appiah
Title: Chief Executive Officer
Phone: (706) 392-3331

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 034627 (AL)

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Registry record

NPI: 1295064269
Entity type: Organization
NPI issued: 21 Dec 2009
Record last updated: 21 Dec 2009

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.