# SEQUEL TSI OF PAINT ROCK VALLEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paint Rock Valley Girls
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992036156
- **Authorized official:** MR. JOHN STUPAK (PRESIDENT)
- **Authorized official phone:** (267) 419-8913

## Contact information

- **Practice address:** 3890 COUNTY ROAD 20, TRENTON, AL 35774-7423
- **Practice address phone:** (256) 776-2503
- **Practice address fax:** (256) 776-2561
- **Mailing address:** 3890 COUNTY ROAD 20, TRENTON, AL 35774-7423
- **Mailing address phone:** (256) 776-2503
- **Mailing address fax:** (256) 776-2561

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 01/27/2010