Healthcare Provider Details

I. General information

NPI: 1336256890
Provider Name (Legal Business Name): THE BOYD SCHOOL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20856 EASTERN VALLEY RD.
GREEN POND AL
35074-2085
US

IV. Provider business mailing address

PO BOX 127 20856 EASTERN VALLEY RD.
GREEN POND AL
35074-0127
US

V. Phone/Fax

Practice location:
  • Phone: 205-938-7663
  • Fax: 205-938-3997
Mailing address:
  • Phone: 205-938-7663
  • Fax: 205-938-3997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number000297
License Number StateAL

VIII. Authorized Official

Name: KELLIE BOYD INGRAM
Title or Position: DIRECTOR
Credential:
Phone: 205-938-7663