Provider Demographics
NPI:1326078023
Name:LAUREL OAKS BEHAVIORAL HEALTH CENTER INC
Entity Type:Organization
Organization Name:LAUREL OAKS BEHAVIORAL HEALTH CENTER INC
Other - Org Name:RAMSAY YOUTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:700 E COTTONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3644
Mailing Address - Country:US
Mailing Address - Phone:334-794-7373
Mailing Address - Fax:334-702-4530
Practice Address - Street 1:700 E COTTONWOOD RD
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3644
Practice Address - Country:US
Practice Address - Phone:334-794-7373
Practice Address - Fax:334-702-4530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11812283Q00000X
AL323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL011-848OtherBLUE CROSS BLUE SHIELD
129578OtherVALUEOPTIONS
ALPSY4007HMedicaid
ALRTF0002HMedicaid
AL010-015OtherBLUE CROSS BLUE SHIELD
129578OtherVALUEOPTIONS