Organization
SOUTHERN OAKS RESIDENTIAL ACADEMY
Active
Other names
Southern Oaks Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY ANN KAKOLIRIS (EXECUTIVE VICE PRESIDENT)
(205) 664-9480
Entity
Organization
Contact information
Practice address
2280 HIGHWAY 35, PELHAM, AL 35124-2189
(205) 664-3480
(205) 685-1477
Mailing address
PO BOX 1625, 2280 HIGHWAY 35 SOUTH, PELHAM, AL 35124-5625
(205) 664-3480
(205) 685-1477
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
AL
Other
Enumeration date
09/22/2005
Last updated
08/22/2020
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