Provider Demographics
NPI:1275648321
Name:SAFETYNET YOUTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:SAFETYNET YOUTH SYSTEMS, LLC
Other - Org Name:SAFETYNET ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNDELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHEATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-872-6196
Mailing Address - Street 1:80 MEL BAILEY DR
Mailing Address - Street 2:
Mailing Address - City:MINTER
Mailing Address - State:AL
Mailing Address - Zip Code:36761-3266
Mailing Address - Country:US
Mailing Address - Phone:334-872-6196
Mailing Address - Fax:334-872-6117
Practice Address - Street 1:80 MEL BAILEY DR
Practice Address - Street 2:
Practice Address - City:MINTER
Practice Address - State:AL
Practice Address - Zip Code:36761-3266
Practice Address - Country:US
Practice Address - Phone:334-872-6196
Practice Address - Fax:334-872-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL033918322D00000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Not Answered323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALRTF0010HOtherINTENSIVE RESIDENTIAL