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LEE COUNTY YOUTH DEVELOPMENT CENTER NPI 1619368875


NPI Information

NPI: 1619368875
Provider Name: LEE COUNTY YOUTH DEVELOPMENT CENTER
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 01D2155010

Address:
1109 SPRING DR
OPELIKA, AL
ZIP 36801
Phone: (334) 749-2996
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LEE COUNTY YOUTH DEVELOPMENT CENTER is a community based residential treatment facility mental illness in Opelika, AL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LEE COUNTY YOUTH DEVELOPMENT CENTER NPI is 1619368875. The provider is registered as an organization entity type.

The provider's business location address is:

1109 SPRING DR
OPELIKA, AL
ZIP 36801-345
Phone: (334) 749-2996
Fax: (334) 749-2975

The provider's authorized official is Laura Cooper .
The authorized official title is Executive Director and has the following contact phone number (334) 749-2996.

The CLIA number assigned to this NPI record is 01D2155010 - other - youth development center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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