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Organization
ALTERNATIVE YOUTH SERVICES, INC.
Active
Organization
ALTERNATIVE YOUTH SERVICES, INC.
Active
Other names
Georgia Center for Youth
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
211 GOOSE HOLLOW RD, REYNOLDS, GA 31076-3505
(478) 847-2900
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
(502) 394-2285
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CCI001717
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
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Other
Enumeration date
06/16/2011
Last updated
07/06/2011
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