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Organization
CONCERNED CITIZENS FOR OUR YOUTH, INC.
Active
Organization
CONCERNED CITIZENS FOR OUR YOUTH, INC.
Active
Other names
Beacon House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS A COOK (EXECUTIVE DIRECTOR)
(205) 384-4539
Entity
Organization
Contact information
Practice address
1200 BEACON LANE, JASPER, AL 35504
(205) 384-4539
(205) 384-1496
Mailing address
PO BOX 852, JASPER, AL 35502-0852
(205) 384-4539
(205) 384-1496
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
000373
AL
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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