Organization
SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SCHULTE (JR ACCOUNTANT)
(419) 695-8010
Entity
Organization
Contact information
Practice address
800 DUTCH SQUARE BLVD, COLUMBIA, SC 29210-7317
(803) 791-7328
(803) 791-4198
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0565
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SR-0009100001-CPA
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948MXH
—
SC
01
—
SR0009100001CPA
LISCENSE NUMBER
SC
Enumeration date
12/22/2005
Last updated
08/22/2020
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