Provider Demographics
NPI:1093068199
Name:WORKING ON WOMANHOOD PROGRAM
Entity Type:Organization
Organization Name:WORKING ON WOMANHOOD PROGRAM
Other - Org Name:YOUTH SERVICES INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-348-2992
Mailing Address - Street 1:BOX 870317
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35487-0317
Mailing Address - Country:US
Mailing Address - Phone:205-343-2875
Mailing Address - Fax:
Practice Address - Street 1:6001 12TH AVE E STE B
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-5163
Practice Address - Country:US
Practice Address - Phone:205-343-2875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF TRUSTEES FOR THE UNIVERSITY OF ALABAMA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC30210114322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children