Palmer Springs Group Home INC

NPI #1255493805 in Boydton, Virginia

Provider Information

NPI Number: 1255493805
Entity Type: Organization
Organization Name: Palmer Springs Group Home INC
Subpart: Yes (part of a larger organization)
Parent Organization: PALMER SPRINGS GROUP HOME INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 13, 2006
Last Updated: May 17, 2024

Practice Location

Address: 2453 MINERAL SPRINGS RD
City: Boydton
State: Virginia
ZIP Code: 23917-4404
Phone: (434) 689-2113

Authorized Official

Name: MR. ADRIAN M KITTRELL
Title: EXECUTIVE DIRECTOR
Phone: (434) 689-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Community/Behavioral Health	251S00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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