NPI | 1831421775 |
---|---|
Doing Business As | RICHMOND DD/TASC: COMP - Q |
Entity Type | Organization |
Authorized Contact | WANDA JESSIE Billing Manager 706-432-4858 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |