Organization
YOUTH 1ST SERVICES
Active
Other names
Fairfield Mighty Tigers Youth Organization
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC PRUITT (CHIEF EXECUTIVE OFFICER)
(205) 482-2319
Entity
Organization
Contact information
Practice address
1327 AVENUE K, BIRMINGHAM, AL 35218-1101
(205) 482-2319
Mailing address
1501 GRIFFIN DR, MIDFIELD, AL 35228-2212
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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