OrganizationActive
Life Enrichment Services
NPI 1386823185 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Northport, AL
Provider details
- NPI number
- 1386823185
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Aretha Ball, Director(205) 339-8300
- License
- G8357354H (AL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense G8357354H (AL)
Residential Treatment Facilities
Practice location
9100 Baptist Campground Rd
Suite B
Northport, AL 35473-8075
Phone: (205) 242-3577
Approximate (ZIP-level) locationGet directions
Mailing address
9100 Baptist Campground Rd
Northport, AL 35473-8075
Registry dates
- Enumerated
- 2007-10-29
- Last updated
- 2007-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.