Mountain Laurel Group Llc in Culpeper - Residential Treatment Facility, Emotionally Disturbed Children
Mountain Laurel Group Llc - NPI 1992853436
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 1992853436. The last update date is 2012-01-26.
Mountain Laurel Group Llc's current location address is 102 N Main St Ste 300, Culpeper, Virginia. You can contact this provider via phone number 5408291789 and fax number 5408290117. The mailing address for Mountain Laurel Group Llc is 102 N Main St Ste 300, Culpeper, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Laurel Group Llc |
|---|---|
| Address | 102 N Main St Ste 300, Culpeper, Virginia |
| Phone Number | 5408291789 |
| Fax Number | 5408290117 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR/C |
|---|---|
| Authorized Official Name | Wyman C Bruce |
| Credentials | LPC,NCC,ED |
| Telephone Number | 5408291789 |
NPI Number Detail
| NPI Number | 1992853436 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2012-01-26 |
Provider Mailing Address Detail
| Address | 102 N Main St Ste 300 |
|---|---|
| City | Culpeper |
| State | Virginia (VA) |
| Post Code | 227013053 |
| Phone Number | 5408291789 |
| Fax Number | 5408290117 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 993-14-001 |
|
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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Post Comment/ Review Below
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) 1992853436 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mountain Laurel Group Llc is geographically located?
The Mountain Laurel Group Llc is physically situated at the following location: 102 N Main St Ste 300, Culpeper, VA, 227013053.
What is Mountain Laurel Group Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mountain Laurel Group Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did the Mountain Laurel Group Llc receive its 1992853436 assignment from the Centers for Medicare & Medicaid Services?
The Mountain Laurel Group Llc was assigned its 1992853436 by the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date were the details related to Mountain Laurel Group Llc most recently updated or revised?
The information pertaining to Mountain Laurel Group Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-26.