NPIMap

Organization Active NPI

Lee County Youth Development Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Opelika, AL
National Provider Identifier
1407003486
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
LEE COUNTY YOUTH DEVELOPMENT CENTER
Practice address
1109 Spring Dr
Opelika, AL 36801-5345
Phone
(334) 749-2996
Fax
(334) 745-0503
NPI assigned
Aug 21, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LEE COUNTY YOUTH DEVELOPMENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mrs. Laura Cooper
Title
Executive Director
Phone
(334) 749-2996

Specialties & licenses 1

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

Addresses

Primary practice location

1109 Spring Dr
Opelika, AL 36801-5345

Mailing address

1109 Spring Dr
Opelika, AL 36801-5345
Phone (334) 749-2996

Other identifiers 1

IdentifierTypeStateIssuer
RTF0001HMedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Lee County Youth Development Center7 organizations share this tax ID, including this one
Part of
Lee County Youth Development Center

Other organizations with this tax ID 6

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

Locations

1109 Spring Dr
Opelika, AL 36801
Phone (334) 745-2760

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1407003486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SPRING DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015345",
            "telephone_number": "334-749-2996",
            "fax_number": "334-745-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SPRING DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015345",
            "telephone_number": "334-749-2996",
            "fax_number": "334-745-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COUNTY YOUTH DEVELOPMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEE COUNTY YOUTH DEVELOPMENT CENTER",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-749-2996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RTF0001H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.