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NPI Code Detail

MEDICARE: SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF AMERICA, INC.

MEDICARE: SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF AMERICA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922010651
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF AMERICA, INC.
Provider Business Mailing Address
First Line : 10100 ELIDA RD
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9056
Country : US
Telephone Number : 419-695-8010
Fax Number : 419-695-0004
Provider Business Practice Location Address
First Line : 9532 WYNLAKES PL
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-8515
Country : US
Telephone Number : 334-270-3181
Fax Number : 334-270-5805
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. LARRY DANCY
Credential : LPC
Telephone Number : 205-725-0569
Provider Enumeration Date : 08/12/2006
Last Update Date : 06/03/2025

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