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Organization
SOUTHERN OAKS RESIDENTIAL ACADEMY
Active
Organization
SOUTHERN OAKS RESIDENTIAL ACADEMY
Active
Other names
Southern Oaks Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY ANN KAKOLIRIS (EXECUTIVE VICE PRESIDENT)
(205) 664-9480
Entity
Organization
Contact information
Practice address
2280 HIGHWAY 35, PELHAM, AL 35124-2189
(205) 664-3480
(205) 685-1477
Mailing address
PO BOX 1625, 2280 HIGHWAY 35 SOUTH, PELHAM, AL 35124-5625
(205) 664-3480
(205) 685-1477
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
AL
Other
Enumeration date
09/22/2005
Last updated
08/22/2020
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