Organization
ALABAMA YOUTH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TOOLE (EXECUTIVE DIRECTOR)
(205) 678-4449
Entity
Organization
Contact information
Practice address
300 RED EAGLE DR, WETUMPKA, AL 36092-5401
(334) 567-2270
Mailing address
PO BOX 66, WESTOVER, AL 35185-0066
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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