Provider Demographics
NPI:1457604977
Name:ALABAMA CLINICAL SCHOOLS, INC.
Entity Type:Organization
Organization Name:ALABAMA CLINICAL SCHOOLS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-836-9923
Mailing Address - Street 1:1221 ALTON DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210-4308
Mailing Address - Country:US
Mailing Address - Phone:205-836-9923
Mailing Address - Fax:205-836-9483
Practice Address - Street 1:1221 ALTON DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210-4308
Practice Address - Country:US
Practice Address - Phone:205-836-9923
Practice Address - Fax:205-836-9483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children