Concerned Citizens for Our Youth, Inc.

NPI #1114937950 in Jasper, Alabama

Provider Information

NPI Number: 1114937950
Entity Type: Organization
Organization Name: Concerned Citizens for Our Youth, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Aug 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1200 BEACON LANE
City: Jasper
State: Alabama
ZIP Code: 35504
Phone: (205) 384-4539

Authorized Official

Name: MS. PHYLLIS A COOK
Title: EXECUTIVE DIRECTOR
Phone: (205) 384-4539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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