PAUL ANDERSON YOUTH HOME, INC. – NPI #1801235312
Residential Treatment Facility, Emotionally Disturbed Children

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.

PAUL ANDERSON YOUTH HOME, INC. is a residential treatment facility located in VIDALIA, GA. NPPES has assigned the NPI number 1801235312 to PAUL ANDERSON YOUTH HOME, INC. on June 18, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL ANDERSON YOUTH HOME, INC. below.

NPI Profile for
PAUL ANDERSON YOUTH HOME, INC.

NPI Number
1801235312
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAUL ANDERSON YOUTH HOME, INC.
Primary location
1603 MCINTOSH STREET
VIDALIA, GA 30474
Phone: (912) 537-7237 Fax: (912) 537-8734
Mailing address
PO BOX 525
VIDALIA, GA 30475-0525
Phone: (912) 537-7237 Fax:
Organization Subpart
No
Authorized Official
BETTY BURRIS
PROGRAM DIRECTOR
Phone: (912) 537-7237
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.