OrganizationActive
Paul Anderson Youth Home, Inc.
NPI 1801235312 · Emotionally Disturbed Childrens' Residential Treatment Facility · Vidalia, GA
Provider details
- NPI number
- 1801235312
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Betty Burris, Program Director(912) 537-7237
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
1603 Mcintosh Street
Vidalia, GA 30474
Phone: (912) 537-7237
Fax: (912) 537-8734
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 525
Vidalia, GA 30475-0525
Registry dates
- Enumerated
- 2013-06-18
- Last updated
- 2013-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.