OrganizationActive
Southeast Alabama Youth Services, Inc
NPI 1710084876 · Emotionally Disturbed Childrens' Residential Treatment Facility · Dothan, AL
Provider details
- NPI number
- 1710084876
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gerald Love, Executive Director(334) 983-8377
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2856 Horace Shepard Dr
Dothan, AL 36303-1007
Phone: (334) 983-8377
Fax: (334) 983-1289
Approximate (ZIP-level) locationGet directions
Mailing address
2856 Horace Shepard Dr
Dothan, AL 36303-1007
Registry dates
- Enumerated
- 2006-09-20
- 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.