Organization
BYRD HOUSE-BEHAVIORAL YOUTH RESOURCE DEVELOPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH RENEE BYRD (EXECUTIVE DIRECTOR)
(678) 423-3200
Entity
Organization
Contact information
Practice address
19 PERRY ST, SUITE 202, NEWNAN, GA 30263-1918
(678) 423-3200
Mailing address
PO BOX 72001, NEWNAN, GA 30271-2001
(678) 423-3200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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