# BURT'S PLACE HOME FOR BOYS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538261326
- **Authorized official:** MS. MAGDALENE WELLMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (256) 543-2036

## Contact information

- **Practice address:** 901 TUSCALOOSA AVE, GADSDEN, AL 35901-3170
- **Practice address phone:** (256) 543-2036
- **Practice address fax:** (256) 543-9677
- **Mailing address:** PO BOX 2295, GADSDEN, AL 35903-0295
- **Mailing address phone:** (256) 543-2036
- **Mailing address fax:** (256) 543-9677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 032931 | AL | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 06/17/2008