NPI: 1114295326
Provider Name: SEQUEL TSI OF ALABAMA, LLC OWENS
Doing Business As: SEQUEL OF OWENS CROSS ROADS
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 01D2170510
Address:
318 HAMER RD
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 725-7170
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SEQUEL TSI OF ALABAMA, LLC OWENS is a substance abuse treatment and children substance abuse rehabilitation facility in Owens Cross Roads, AL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. SEQUEL TSI OF ALABAMA, LLC OWENS NPI is 1114295326. The provider is registered as an organization entity type.
The provider Is Doing Business As Sequel Of Owens Cross Roads.
The provider's business location address is:
318 HAMER RD
OWENS CROSS ROADS, AL
ZIP 35763-612
Phone: (256) 725-7170
The provider's authorized official is Kenny Roberts .
The authorized official title is Vp Of Al Operations and has the following contact phone number (256) 725-7170.
The CLIA number assigned to this NPI record is 01D2170510 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/2/2011 and was last updated on 12/2/2011.