Organization
COOSA VALLEY YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ROLLINS (EXECUTIVE DIRECTOR)
(256) 237-2881
Entity
Organization
Contact information
Practice address
4625 MCCLELLAN BLVD, ANNISTON, AL 36206-1858
(256) 237-2881
(256) 237-3088
Mailing address
PO BOX 4519, ANNISTON, AL 36204-4519
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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