Organization · Type 2 NPI

Camellia Therapeutic Foster Agency LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Phenix City, AL

NPI number 1295064269 Active

Practice location

407 S Seale Rd
Phenix City, AL 36869-7304

Fax (334) 298-8599

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X034627 (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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About NPI 1295064269

Camellia Therapeutic Foster Agency LLC's National Provider Identifier is 1295064269, issued on Dec 21, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Phenix City, AL. The record was last updated on Dec 21, 2009.