ALTERNATIVE YOUTH SERVICES INC. NPI 1225243868

NPI Information

ALTERNATIVE YOUTH SERVICES, INC. is a specialist in Lewisburg, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALTERNATIVE YOUTH SERVICES, INC. NPI is 1225243868. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Magnolia Academy.

The provider's business location address is:

120 FREEMAN DR
LEWISBURG, TN
ZIP 37091-047
Phone: (931) 359-3592

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/28/2008.

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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