Organization · Type 2 NPI

Working On Womanhood Program

Emotionally Disturbed Childrens' Residential Treatment Facility · Tuscaloosa, AL

NPI number 1093068199 Active

Practice location

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

Call (205) 343-2875 Map

Mailing address

Box 870317
Tuscaloosa, AL 35487-0317

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	C30210114 (AL)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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NPI record

NPI: 1093068199
Entity type: Organization (Type 2)
Issued: Oct 26, 2012
Last updated: Oct 26, 2012
Status: Active
Subpart: Yes of Board of Trustees for the University of Alabama

Other names

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Youth Services Institute · other name

Authorized official

Karan Singley
Director
(205) 348-2992

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093068199

Working On Womanhood Program's National Provider Identifier is 1093068199, issued on Oct 26, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Oct 26, 2012.