Organization
LEE COUNTY YOUTH DEVELOPMENT CENTER
Active
Parent organization
LEE COUNTY YOUTH DEVELOPMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEE COUNTY YOUTH DEVELOPMENT CENTER
Authorized official
MRS. LAURA COOPER (EXECUTIVE DIRECTOR)
(334) 749-2996
Entity
Organization
Contact information
Practice address
1109 SPRING DR, OPELIKA, AL 36801-5345
(334) 749-2996
(334) 745-0503
Mailing address
1109 SPRING DR, OPELIKA, AL 36801-5345
(334) 749-2996
(334) 745-0503
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RTF0001H
—
AL
Enumeration date
08/21/2008
Last updated
08/21/2008
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