CONCERNED CITIZENS FOR OUR YOUTH INC. NPI 1114937950

NPI Information

CONCERNED CITIZENS FOR OUR YOUTH, INC. is a residential treatment facility emotionally disturbed children in Jasper, AL. The provider is 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. CONCERNED CITIZENS FOR OUR YOUTH, INC. NPI is 1114937950. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon House.

The provider's business location address is:

1200 BEACON LANE
JASPER, AL
ZIP 35504
Phone: (205) 384-4539
Fax: (205) 384-1496

The provider's authorized official is Phyllis A Cook .
The authorized official title is Executive Director and has the following contact phone number (205) 384-4539.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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