Organization
BURT'S PLACE HOME FOR BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAGDALENE WELLMAN (EXECUTIVE DIRECTOR)
(256) 543-2036
Entity
Organization
Contact information
Practice address
901 TUSCALOOSA AVE, GADSDEN, AL 35901-3170
(256) 543-2036
(256) 543-9677
Mailing address
PO BOX 2295, GADSDEN, AL 35903-0295
(256) 543-2036
(256) 543-9677
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
032931
AL
Other
Enumeration date
09/02/2006
Last updated
06/17/2008
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