Healthcare Provider Details
I. General information
NPI: 1326151325
Provider Name (Legal Business Name): CHILDREN'S SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 ALAN DR
ANNISTON AL
36201-6408
US
IV. Provider business mailing address
PO BOX 670 501 QUINTARD AVE.
ANNISTON AL
36202-0670
US
V. Phone/Fax
- Phone: 256-236-1209
- Fax: 256-237-0461
- Phone: 256-236-3434
- Fax: 256-237-0461
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KAY
M
TOLBERT
Title or Position: EXECUTIVE DIRECTOR
Credential: ED
Phone: 256-236-3434