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Organization
ETOWAH YOUTH SERVICES INC.
Active
Organization
ETOWAH YOUTH SERVICES INC.
Active
Other names
Eagle Rock Boys Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT DAVID HILTON M.A. (EXECUTIVE DIRECTOR)
(256) 538-1687
Entity
Organization
Contact information
Practice address
832 BURGESS RD, ATTALLA, AL 35954-5119
(256) 538-1687
(256) 538-0646
Mailing address
832 BURGESS RD, ATTALLA, AL 35954-5119
(256) 538-1687
(256) 538-0646
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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