NPI 1750472932

The Salvation Army, a Georgia Corporation

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Birmingham, AL

Practice location

Address: 6001 Crestwood Blvd, Birmingham, AL 35212-4203
Phone: (205) 595-8343
Fax: (205) 595-1996

Authorised official

Name: Lt. Colonel David E. Jeffrey
Title: Vice- President
Phone: (404) 728-1300

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 005576 (AL)

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Registry record

NPI: 1750472932
Entity type: Organization
NPI issued: 27 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.