| NPI | 1588914824 |
|---|---|
| Former Legal Business Name | ALTERNATIVE YOUTH ACADEMY, INC |
| Entity Type | Organization |
| Authorized Contact | ROMMYS ALEMANIA BELTRAN CEO 770-650-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 125325) |
| 101Y00000X Counselor (Licence: GA APC002972) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA APC002972) | |
| 247200000X Technician, Other | |
| 235Z00000X Speech-Language Pathologist, | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 125325) | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 101YS0200X Counselor, School | |
| 103TR0400X Psychologist, Rehabilitation | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2015-07-22 |