Organization
TEARS TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC.
Active
Other names
BRIDGES Girls Home
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA WALTON MS/CPM, CAADP (EXECUTIVE DIRECTOR)
(334) 291-6363
Entity
Organization
Contact information
Practice address
206 E OAK ST, TUSKEGEE, AL 36083-1819
(334) 226-1255
(334) 727-1643
Mailing address
1011 S RAILROAD ST, PHENIX CITY, AL 36867-6220
(334) 291-6363
(334) 291-6399
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
32025061
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106867
—
AL
01
—
1801045117
NPI NUMBER FOR TEARS TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC.
AL
Enumeration date
08/25/2014
Last updated
08/25/2014
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