Healthcare Provider Details

I. General information

NPI: 1619357498
Provider Name (Legal Business Name): SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF KENTUCKY-BOWLING GR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 COLLEGE ST
BOWLING GREEN KY
42101-2136
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9058
US

V. Phone/Fax

Practice location:
  • Phone: 270-904-6307
  • Fax: 606-328-5153
Mailing address:
  • Phone: 419-695-8010
  • Fax: 606-328-5153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SARAH BRAUN
Title or Position: ASSOCIATE EXECUTIVE DIRECTOR
Credential:
Phone: 502-655-0863