Organization · Type 2 NPI

T'lab, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Petersburg, VA

NPI number 1679939169 Active

Practice location

823 S Jones St
Petersburg, VA 23803-4952

Call (804) 590-2227 Map

Fax (804) 451-9573

Mailing address

3734 W Autumn Dr
North Dinwiddie, VA 23803-8433

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	38214035 (VA)

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.

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About NPI 1679939169

T'lab, Inc.'s National Provider Identifier is 1679939169, issued on Jan 13, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Petersburg, VA. The record was last updated on Jan 13, 2016.