Whalio Doctors

NPI 1710084876

Southeast Alabama Youth Services, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Dothan, AL

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
Residential Treatment Facilities Taxonomy 322D00000X

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.