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Organization
CAMELLIA THERAPEUTIC FOSTER AGENCY LLC
Active
Organization
CAMELLIA THERAPEUTIC FOSTER AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH APPIAH (CHIEF EXECUTIVE OFFICER)
(706) 392-3331
Entity
Organization
Contact information
Practice address
407 S SEALE RD, PHENIX CITY, AL 36869-7304
(706) 392-3331
(334) 298-8599
Mailing address
407 S SEALE RD, P.O. BOX 788, PHENIX CITY, AL 36869-7304
(706) 392-3331
(334) 298-8599
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
034627
AL
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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