Organization Name: | SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF KENTUCKY-BOWLING GR |
NPI Number: | 1619357498 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN MOORE (STATE DIRECTOR) |
Mailing Address: | 10100 Elida Rd Delphos |
State: | OH US |
Postal Code: | 458339056 |
Phone Number: | 4196958010 |
Fax Number: | 6196950004 |
NPI Enumeration Date: | 06/05/2015 |
NPI Last Update Date: | 04/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |