Provider Demographics
NPI:1851536577
Name:BURROWES GROUP RESIDENTIAL FACILITIES, INC.
Entity Type:Organization
Organization Name:BURROWES GROUP RESIDENTIAL FACILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:YORK
Authorized Official - Last Name:BURROWES
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS IN EDUCATION
Authorized Official - Phone:251-457-7090
Mailing Address - Street 1:PO BOX 40806
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0806
Mailing Address - Country:US
Mailing Address - Phone:251-457-7090
Mailing Address - Fax:
Practice Address - Street 1:1610 ROACH ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-1819
Practice Address - Country:US
Practice Address - Phone:251-457-7090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health