Taylors Enhanced Living III INC

NPI #1255677845 in Petersburg, Virginia

Provider Information

NPI Number: 1255677845
Entity Type: Organization
Organization Name: Taylors Enhanced Living III INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 31, 2012
Last Updated: Dec 31, 2012

Practice Location

Address: 3267 S CRATER RD
City: Petersburg
State: Virginia
ZIP Code: 23805-9216
Phone: (804) 504-0056

Authorized Official

Name: LAWRENCE STARKE, LPC
Title: EXE DIR
Phone: (804) 586-1587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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