Individual provider · Type 1 NPI
Julie Peckham
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Orange Park, FL
Practice location
1134 Morgan Cir E
Orange Park, FL 32073-3961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1174980924
Julie Peckham's National Provider Identifier is 1174980924, issued on Jan 25, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Orange Park, FL. The record was last updated on Jan 25, 2016.