# CAMELLIA THERAPEUTIC FOSTER AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295064269
- **Authorized official:** DR. JOSEPH APPIAH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (706) 392-3331

## Contact information

- **Practice address:** 407 S SEALE RD, PHENIX CITY, AL 36869-7304
- **Practice address phone:** (706) 392-3331
- **Practice address fax:** (334) 298-8599
- **Mailing address:** 407 S SEALE RD, P.O. BOX 788, PHENIX CITY, AL 36869-7304
- **Mailing address phone:** (706) 392-3331
- **Mailing address fax:** (334) 298-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 034627 | AL | Yes |

## Other

- **Enumeration date:** 12/21/2009
- **Last updated:** 12/21/2009