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General NPI Number Information
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NPI Number | 1922010651
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Entity Type | Organization
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Legal Business Name | SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF AMERICA, INC.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 9532 WYNLAKES PL
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City | MONTGOMERY
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State | AL
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Zip | 36117-8515
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Country | US
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Telephone | 334-270-3181
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Fax | 334-270-5805
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Provider Business Mailing Address
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Address Line | 10100 ELIDA RD
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City | DELPHOS
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State | OH
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Zip | 45833-9056
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Country | US
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Telephone | 419-695-8010
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Fax | 419-695-0004
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LARRY DANCY
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Credential | LPC
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Telephone | 205-725-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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