| NPI | 1962212910 |
|---|---|
| Doing Business As | FAIRFIELD MIGHTY TIGERS YOUTH ORGANIZATION |
| Entity Type | Organization |
| Authorized Contact | DOMINIC PRUITT Chief Executive Officer 205-482-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-01-11 |