# UNITED METHODIST CHILDREN'S HOME

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

## Provider details

- **NPI number:** 1760597215
- **Authorized official:** MR. JOSEPH W, LISENBY (PRESIDENT & CEO)
- **Authorized official phone:** (334) 875-7283

## Contact information

- **Practice address:** 1712 BROAD ST, SELMA, AL 36701-4102
- **Practice address phone:** (334) 875-7283
- **Practice address fax:** (334) 875-5161
- **Mailing address:** PO BOX 830, SELMA, AL 36702-0830
- **Mailing address phone:** (334) 875-7283
- **Mailing address fax:** (334) 875-5161

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020
