Individual provider · Type 1 NPI
Jean Sylvain Ateba Ondoua
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Manassas Park, VA
Practice location
9229 Matthew Dr
Manassas Park, VA 20111-2451
Fax (443) 773-1367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 3567 (VA) |
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.
2 other providers at this address
About NPI 1760104863
Jean Sylvain Ateba Ondoua's National Provider Identifier is 1760104863, issued on Sep 15, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Manassas Park, VA. The record was last updated on Sep 15, 2022.