Steven Ingrid Boone Youth Foundation
NPI #1093010456 in Trussville, Alabama
Provider Information
- NPI Number
- 1093010456
- Entity Type
- Organization
- Organization Name
- Steven Ingrid Boone Youth Foundation
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 17, 2011
- Last Updated
- Jan 17, 2011
Practice Location
- Address
- 459 MAIN ST
- Address 2
- SUITE 101-273
- City
- Trussville
- State
- Alabama
- ZIP Code
- 35173-1416
- Phone
- (205) 853-3526
Authorized Official
- Name
- MRS. TYKEYSHA BOONE, MPH, CHES
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (205) 410-5065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
| Case Management |
| Day Training, Developmentally Disabled Services |
| Public Health or Welfare |
| Voluntary or Charitable |
| Early Intervention Provider Agency |
| Community/Behavioral Health |
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