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Camellia Therapeutic Foster Agency Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Phenix City, Alabama
NPI 1295064269

Camellia Therapeutic Foster Agency Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Phenix City, AL. Camellia Therapeutic Foster Agency Llc practices in Phenix City, AL. The NPI Number for Camellia Therapeutic Foster Agency Llc is 1295064269 and holds a License No. 034627 (Alabama).

The current practice location address for Camellia Therapeutic Foster Agency Llc is 407 S Seale Rd, Phenix City, AL and can be reached out via phone at 706-392-3331 and via fax at 334-298-8599.

Location: 407 S Seale Rd, Phenix City, AL, 36869-7304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295064269
Provider Name
Camellia Therapeutic Foster Agency Llc
Credential
Provider Entity Type
Organization
Address
407 S Seale Rd, Phenix City, AL, 36869-7304
Phone Number
706-392-3331
Fax Number
334-298-8599
Provider Enumeration Date
12/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
339089024 05 AL
339091202 01 AL EDS/SDHR339000000
339091102 01 AL EDS/SDHR339000000
institution
Provider Business Practice Location Address Details
Address
407 S Seale Rd
City
Phenix City
State
Alabama
Zip
36869-7304
Phone Number
706-392-3331
Fax Number
334-298-8599
person
Provider Business Mailing Address Details
Address
407 S Seale Rd
City
Phenix City
State
Alabama
Zip
36869-7304
Phone Number
706-392-3331
Fax Number
334-298-8599
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
034627 (Alabama)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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