NPI 1710084876
Southeast Alabama Youth Services, INC
Practice location
- Address
- 2856 Horace Shepard Dr, Dothan, AL 36303-1007
- Phone
- (334) 983-8377
- Fax
- (334) 983-1289
Authorised official
- Name
- Gerald H Love
- Title
- Executive Director
- Phone
- (334) 983-8377
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1710084876
- Entity type
- Organization
- NPI issued
- 20 Sep 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.