Organization · Type 2 NPI
Extraordinary Changes LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chesapeake, VA
Practice location
413 B St
Chesapeake, VA 23324-2515
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.
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About NPI 1841965696
Extraordinary Changes LLC's National Provider Identifier is 1841965696, issued on Aug 13, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chesapeake, VA. The record was last updated on Aug 13, 2021.