Paul Anderson Youth Home, Inc.

NPI #1801235312 in Vidalia, Georgia

Provider Information

NPI Number: 1801235312
Entity Type: Organization
Organization Name: Paul Anderson Youth Home, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jun 18, 2013
Last Updated: Jun 18, 2013

Practice Location

Address: 1603 MCINTOSH STREET
City: Vidalia
State: Georgia
ZIP Code: 30474
Phone: (912) 537-7237

Authorized Official

Name: BETTY C. BURRIS, MA
Title: PROGRAM DIRECTOR
Phone: (912) 537-7237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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