Provider Demographics
NPI:1336256890
Name:THE BOYD SCHOOL, INC.
Entity Type:Organization
Organization Name:THE BOYD SCHOOL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-938-7663
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:20856 EASTERN VALLEY RD.
Mailing Address - City:GREEN POND
Mailing Address - State:AL
Mailing Address - Zip Code:35074-0127
Mailing Address - Country:US
Mailing Address - Phone:205-938-7663
Mailing Address - Fax:205-938-3997
Practice Address - Street 1:20856 EASTERN VALLEY RD.
Practice Address - Street 2:
Practice Address - City:GREEN POND
Practice Address - State:AL
Practice Address - Zip Code:35074-2085
Practice Address - Country:US
Practice Address - Phone:205-938-7663
Practice Address - Fax:205-938-3997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000297322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children