Organization Active NPI

Specialized Alternatives for Family and Youth

  • Community/Behavioral Health Agency
  • Lima, OH
National Provider Identifier
1619326097
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
S1101026 Issued in OH
Legal business name
SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH
Practice address
658 W Market St Ste 101
Lima, OH 45801-5604
Phone
(419) 222-1527
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Miss Christine R Pack, LSW
Title
Intervention Specialist
Phone
(419) 222-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X S1101026 OH Primary

Addresses

Primary practice location

658 W Market St Ste 101
Lima, OH 45801-5604

Mailing address

407 Hamilton Rd Apt 3
Wapakoneta, OH 45895-1153
Phone (419) 302-5292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1619326097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HAMILTON RD APT 3",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951153",
            "telephone_number": "419-302-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST STE 101",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015604",
            "telephone_number": "419-222-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INTERVENTION SPECIALIST",
        "authorized_official_telephone_number": "419-222-1527",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S1101026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.