Southern Oaks Residential Academy

NPI #1588650816 in Pelham, Alabama

Provider Information

NPI Number: 1588650816
Entity Type: Organization
Organization Name: Southern Oaks Residential Academy
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Sep 22, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 2280 HIGHWAY 35
City: Pelham
State: Alabama
ZIP Code: 35124-2189
Phone: (205) 664-3480

Authorized Official

Name: MRS. PENNY ANN KAKOLIRIS
Title: EXECUTIVE VICE PRESIDENT
Phone: (205) 664-9480

Specialties & Taxonomy Codes

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

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