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Organization

ALTERNATIVE YOUTH SERVICES, INC.

Active
Other names
Georgia Center for Youth
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2387
Entity
Organization

Contact information

Practice address
211 GOOSE HOLLOW RD, REYNOLDS, GA 31076-3505
(478) 847-2900
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
(502) 394-2285

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CCI001717
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/16/2011
Last updated
07/06/2011
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