Healthcare Provider Details
I. General information
NPI: 1083988919
Provider Name (Legal Business Name): SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF KENTUCKY - SOMERSET
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2012
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3540 S HIGHWAY 27 SUITE 4
SOMERSET KY
42501-3026
US
IV. Provider business mailing address
10100 ELIDA RD
DELPHOS OH
45833-9056
US
V. Phone/Fax
- Phone: 606-679-1815
- Fax: 606-451-1631
- Phone: 419-695-8010
- Fax: 419-695-0004
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case 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