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
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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