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Organization
SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH
Active
Organization
SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SCHULTE (JR ACCOUNTANT)
(419) 695-8010
Entity
Organization
Contact information
Practice address
800 DUTCH SQUARE BLVD, COLUMBIA, SC 29210-7317
(803) 791-7328
(803) 791-4198
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0565
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SR-0009100001-CPA
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948MXH
—
SC
01
—
SR0009100001CPA
LISCENSE NUMBER
SC
Enumeration date
12/22/2005
Last updated
08/22/2020
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