Provider Demographics
NPI:1275648321
Name:SAFETYNET YOUTH SYSTEMS, LLC
Entity type:Organization
Organization Name:SAFETYNET YOUTH SYSTEMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNDELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHEATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-872-6196
Mailing Address - Street 1:80 MEL BAILEY DR
Mailing Address - Street 2:
Mailing Address - City:MINTER
Mailing Address - State:AL
Mailing Address - Zip Code:36761-3266
Mailing Address - Country:US
Mailing Address - Phone:334-872-6196
Mailing Address - Fax:334-872-6117
Practice Address - Street 1:80 MEL BAILEY DR
Practice Address - Street 2:
Practice Address - City:MINTER
Practice Address - State:AL
Practice Address - Zip Code:36761-3266
Practice Address - Country:US
Practice Address - Phone:334-872-6196
Practice Address - Fax:334-872-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL033918323P00000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALRTF0010HOtherINTENSIVE RESIDENTIAL