Provider Demographics
NPI:1083780134
Name:SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF TEXAS, INC.
Entity Type:Organization
Organization Name:SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF TEXAS, INC.
Other - Org Name:SAFY OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LCPA,LCCA
Authorized Official - Phone:817-640-4650
Mailing Address - Street 1:10100 ELIDA RD
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-9056
Mailing Address - Country:US
Mailing Address - Phone:419-695-8010
Mailing Address - Fax:419-695-0004
Practice Address - Street 1:201 BILLINGS ST
Practice Address - Street 2:#510
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5401
Practice Address - Country:US
Practice Address - Phone:817-640-4650
Practice Address - Fax:817-649-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management