Individual provider · Type 1 NPI
Tanna Torcaso, QP
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, NC
Practice location
303 Stillwater Cv
Jacksonville, NC 28546-9790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | MHL-067-118 (NC) |
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 Jacksonville
About NPI 1487762373
Tanna Torcaso, QP's National Provider Identifier is 1487762373, issued on Aug 29, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, NC. The record was last updated on Jul 9, 2007.