OrganizationActive
Concerned Citizens for Our Youth, Inc.
NPI 1114937950 · Emotionally Disturbed Childrens' Residential Treatment Facility · Jasper, AL
Provider details
- NPI number
- 1114937950
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Phyllis Cook, Executive Director(205) 384-4539
- License
- 000373 (AL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1200 Beacon Lane
Jasper, AL 35504
Phone: (205) 384-4539
Fax: (205) 384-1496
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 852
Jasper, AL 35502-0852
Other names (DBA / former)
- Doing business as
- Beacon House
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.