Mountain Laurel Group, Llc in Culpeper - Residential Treatment Facility, Emotionally Disturbed Children
Mountain Laurel Group, Llc - NPI 1750596441
Mountain Laurel Group, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Culpeper, Virginia. Mountain Laurel Group, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Mountain Laurel Group, Llc is 1750596441. The last update date is 2007-11-20.
Mountain Laurel Group, Llc's current location address is Po Box 507, Culpeper, Virginia. You can contact this provider via phone number 5408291789 and fax number 5408254617. The mailing address for Mountain Laurel Group, Llc is Po Box 507, Culpeper, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Laurel Group, Llc |
|---|---|
| Address | Po Box 507, Culpeper, Virginia |
| Phone Number | 5408291789 |
| Fax Number | 5408254617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Wyman Charles Bruce |
| Credentials | LPC |
| Telephone Number | 5408291789 |
NPI Number Detail
| NPI Number | 1750596441 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | Po Box 507 |
|---|---|
| City | Culpeper |
| State | Virginia (VA) |
| Post Code | 227010507 |
| Phone Number | 5408291789 |
| Fax Number | 5408254617 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identifier code assigned to Mountain Laurel Group, Llc by the Centers for Medicare & Medicaid Services?
The Mountain Laurel Group, Llc has been issued the NPI (National Provider Identifier) 1750596441 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mountain Laurel Group, Llc?
The Mountain Laurel Group, Llc is situated at Po Box 507, in the city of Culpeper, state of VA, with the zip code 227010507.
What is Mountain Laurel Group, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mountain Laurel Group, Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750596441 to Mountain Laurel Group, Llc?
The Centers for Medicare & Medicaid Services assigned the 1750596441 to Mountain Laurel Group, Llc on 2007-05-14.
When was the Mountain Laurel Group, Llc's information last updated?
The Mountain Laurel Group, Llc's information was last updated on 2007-11-20.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY