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Paul Anderson Youth Home, Inc.
Substance Abuse Rehabilitation Facility in Vidalia, Georgia
NPI 1801235312

Paul Anderson Youth Home, Inc. is a Substance Abuse Rehabilitation Facility based in Vidalia, GA. Paul Anderson Youth Home, Inc. practices in Vidalia, GA. The NPI Number for Paul Anderson Youth Home, Inc. is 1801235312 and holds a License No. (Georgia).

The current practice location address for Paul Anderson Youth Home, Inc. is 1603 Mcintosh Street, Vidalia, GA and can be reached out via phone at 912-537-7237 and via fax at 912-537-8734. You can also correspond with Paul Anderson Youth Home, Inc. through the mailing address at PO BOX 525, VIDALIA, GA - 30475-0525 (mailing address contact number: 912-537-7237).

Location: 1603 Mcintosh Street, Vidalia, GA, 30475-0525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801235312
Provider Name
Paul Anderson Youth Home, Inc.
Credential
Provider Entity Type
Organization
Address
1603 Mcintosh Street, Vidalia, GA, 30475-0525
Phone Number
912-537-7237
Fax Number
912-537-8734
Provider Enumeration Date
06/18/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1603 Mcintosh Street
City
Vidalia
State
Georgia
Zip
30474
Phone Number
912-537-7237
Fax Number
912-537-8734
person
Provider Business Mailing Address Details
Address
1603 Mcintosh Street
City
Vidalia
State
Georgia
Zip
30474
Phone Number
912-537-7237
Fax Number
912-537-8734
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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