Organization · Type 2 NPI
Peterson Family Care Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portsmouth, VA
Practice location
1632 Elm Ave
Portsmouth, VA 23704-4508
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 1912062860
Peterson Family Care Center's National Provider Identifier is 1912062860, issued on Dec 22, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 22, 2020.