Organization
CONCERNED CITIZENS FOR OUR YOUTH, INC.
Active
Other names
Beacon House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS A COOK (EXECUTIVE DIRECTOR)
(205) 384-4539
Entity
Organization
Contact information
Practice address
1200 BEACON LANE, JASPER, AL 35504
(205) 384-4539
(205) 384-1496
Mailing address
PO BOX 852, JASPER, AL 35502-0852
(205) 384-4539
(205) 384-1496
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
000373
AL
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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