NPIMap

Organization Active NPI

Working on Womanhood Program

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tuscaloosa, AL
National Provider Identifier
1093068199
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
C30210114 Issued in AL
Legal business name
WORKING ON WOMANHOOD PROGRAM
Practice address
6001 12TH Ave E Ste B
Tuscaloosa, AL 35405-5163
Phone
(205) 343-2875
NPI assigned
Oct 26, 2012
Organization subpart
Yes
Parent organization
BOARD OF TRUSTEES FOR THE UNIVERSITY OF ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karan Singley
Title
Director
Phone
(205) 348-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X C30210114 AL Primary

Addresses

Primary practice location

6001 12TH Ave E Ste B
Tuscaloosa, AL 35405-5163

Mailing address

Box 870317
Tuscaloosa, AL 35487-0317
Phone (205) 343-2875

Other names 1

  • Youth Services Institute Other name

National Provider Directory

National Provider Directory
Tax ID family
Brewer Porch Children'S Center12 organizations share this tax ID, including this one
Part of
Brewer Porch Children'S Center

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

870317 Box
Tuscaloosa, AL 35487

6001 12th Ave E
Ste B
Tuscaloosa, AL 35405
Phone (205) 343-2875

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1093068199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 870317",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354870317",
            "telephone_number": "205-343-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 12TH AVE E STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354055163",
            "telephone_number": "205-343-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKING ON WOMANHOOD PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF TRUSTEES FOR THE UNIVERSITY OF ALABAMA",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "SINGLEY",
        "authorized_official_first_name": "KARAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-348-2992"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "C30210114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Services Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.