Provider Demographics
NPI:1467616367
Name:CHRISTIAN SERVICES FOR CHILDREN IN ALABAMA
Entity Type:Organization
Organization Name:CHRISTIAN SERVICES FOR CHILDREN IN ALABAMA
Other - Org Name:NBA CHRISTIAN SERVICES FOR CHILDREN IN ALABAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:334-875-0608
Mailing Address - Street 1:PO BOX 2077
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36702-2077
Mailing Address - Country:US
Mailing Address - Phone:334-875-0608
Mailing Address - Fax:334-875-0678
Practice Address - Street 1:1792 AL HIGHWAY 14 E
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36703-3203
Practice Address - Country:US
Practice Address - Phone:334-875-0608
Practice Address - Fax:334-875-0678
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DISCIPLES BENEVOLENT ASSOCIATION OF THE CHRISTIAN CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL022482253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency