ALTERNATIVE YOUTH SERVICES INC. NPI 1770878894

NPI Information

  • NPI: 1770878894
  • Provider Name: ALTERNATIVE YOUTH SERVICES, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: GEORGIA CENTER FOR YOUTH
  • Address: 211 GOOSE HOLLOW RD
    REYNOLDS, GA
    ZIP 31076
  • Phone: (478) 847-2900

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NPI Details

ALTERNATIVE YOUTH SERVICES, INC. is a mental health (including community mental health center) clinic center in Reynolds, GA. ALTERNATIVE YOUTH SERVICES, INC. NPI is 1770878894. The provider is registered as an organization entity type.
The provider Other Name Is Georgia Center For Youth.

The provider's business location address is:

211 GOOSE HOLLOW RD
REYNOLDS, GA
ZIP 31076-505
Phone: (478) 847-2900

The provider's authorized official is Deena G. Ombres .
The authorized official title is Assoc. Gen. Counsel/privacy Officer and has the following contact phone number (502) 394-2387.

The enumeration date for this NPI number is 6/16/2011 and was last updated on 7/6/2011.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CCI001717GEORGIAYes

What is NPI?

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

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