Damon Peterson, M.ED, PBSF

NPI #1194042515 in Petersburg, Virginia

Provider Information

NPI Number
1194042515
Entity Type
Individual
Name
Damon Peterson, M.ED, PBSF
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential
M.ED, PBSF
Enumeration Date
Apr 24, 2010
Last Updated
Apr 24, 2010

Practice Location

Address
24812 BRICKWOOD MEADOW LN
ZIP Code
23803-8869
Phone
(804) 861-5201

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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