Organization · Type 2 NPI
Paul Anderson Youth Home, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Vidalia, GA
Practice location
1603 Mcintosh Street
Vidalia, GA 30474
Fax (912) 537-8734
Mailing address
PO Box 525
Vidalia, GA 30475-0525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1801235312
Paul Anderson Youth Home, Inc.'s National Provider Identifier is 1801235312, issued on Jun 18, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Vidalia, GA. The record was last updated on Jun 18, 2013.