Tuscaloosa Juvenile Detention Center

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

TUSCALOOSA JUVENILE DETENTION CENTER

Practice address

6001 12TH Ave E
Tuscaloosa, AL 35405-5163

Phone

(205) 349-3131

Fax

(205) 349-3196

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

John Faile

Title

Admin

Phone

(205) 349-3131

Specialties & licenses 1

Addresses

Tax ID family

Tennessee Valley Juvenile Detention Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tennessee Valley Juvenile Detention Center

  • Psychiatric Residential Treatment Facility
  • Tuscumbia, AL
  • NPI 1881607554
  NPD tax ID

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750480752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 12TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354055163",
            "telephone_number": "205-349-3131",
            "fax_number": "205-349-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 12TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354055163",
            "telephone_number": "205-349-3131",
            "fax_number": "205-349-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCALOOSA JUVENILE DETENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAILE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "205-349-3131"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tuscaloosa Gynecology Inc
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• Tuscaloosa Medcenter South, LLC
• Tuscaloosa Medical Associates
• Tuscaloosa Neonatal PC

• All providers in Tuscaloosa, AL
• Adolescent and Children Mental Health Clinic/Center 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.