Organization · Type 2 NPI
Jennifer White
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Disputanta, VA
Practice location
6688 Tatum Road
Disputanta, VA 23842-6902
Mailing address
6688 Tatum Rd
Disputanta, VA 23842-6902
Other practice locations
- 6688 Tatum Road, Disputanta, VA 23842-6902 · (804) 550-8674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Disputanta
About NPI 1083137368
Jennifer White's National Provider Identifier is 1083137368, issued on Jul 19, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Disputanta, VA. The record was last updated on Jul 21, 2022.