Southeast Alabama Youth Services, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

SOUTHEAST ALABAMA YOUTH SERVICES, INC

Practice address

2856 Horace Shepard Dr
Dothan, AL 36303-1007

Phone

(334) 983-8377

Fax

(334) 983-1289

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald H Love

Title

Executive Director

Phone

(334) 983-8377

Specialties & licenses 1

Addresses

Tax ID family

Southeast Alabama Youth Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Southeast Alabama Youth Services

  • Professional Counselor
  • Dothan, AL
  • NPI 1790575256
  NPD tax ID
• Southeast Alabama Youth Services, Inc

  • Professional Counselor
  • Louisville, AL
  • NPI 1760100804
  NPD tax ID

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710084876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 HORACE SHEPARD DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031007",
            "telephone_number": "334-983-8377",
            "fax_number": "334-983-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 HORACE SHEPARD DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031007",
            "telephone_number": "334-983-8377",
            "fax_number": "334-983-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA YOUTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-983-8377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Alabama Medical Center Employee Pharmacy
• Southeast Alabama Regional Planning and Development Commission
• Southeast Alabama Rural Health Associates (Dothan Family Health Center)
• Southeast Alabama Surgical LLC
• Southeast Alabama Youth Services
• Southeast Cardiology Clinic Inc.
• Southeast Dental Works LLC
• Southeast Outpatient Addiction Recovery (Soar)
• Southeast Vein & Laser Center, P.C.
• Southeastern Cardiovascular Associates PC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Dothan, AL
• Providers in Dothan, AL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.