ALTERNATIVE YOUTH SERVICES INC. NPI 1336310465

NPI Information

  • NPI: 1336310465
  • Provider Name: ALTERNATIVE YOUTH SERVICES, INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Other Name: COMMUNITY YOUTH SERVICES
  • Address: 195 E LINCOLN TRAIL BLVD
    RADCLIFF, KY
    ZIP 40160
  • Phone: (270) 351-6852

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NPI Details

ALTERNATIVE YOUTH SERVICES, INC. is an intermediate care facility mentally retarded in Radcliff, KY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ALTERNATIVE YOUTH SERVICES, INC. NPI is 1336310465. The provider is registered as an organization entity type.
The provider Other Name Is Community Youth Services.

The provider's business location address is:

195 E LINCOLN TRAIL BLVD
RADCLIFF, KY
ZIP 40160-253
Phone: (270) 351-6852
Fax: (270) 351-6868

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 3/17/2008 and was last updated on 7/2/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesKENTUCKYYes

What is NPI?

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This page was last updated on: 11/21/2025

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