Individual provider · Type 1 NPI
Stephanie A. Moon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Crozet, VA
Practice location
1675 Buck Rd
Crozet, VA 22932-2720
Fax (434) 205-4016
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.
About NPI 1497199541
Stephanie A. Moon's National Provider Identifier is 1497199541, issued on Apr 19, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Crozet, VA. The record was last updated on Apr 19, 2013.