Intellectual Services Group, LLC

NPI #1356962252 in Fredericksburg, Virginia

Provider Information

NPI Number: 1356962252
Entity Type: Organization
Organization Name: Intellectual Services Group, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 1, 2020
Last Updated: May 1, 2020

Practice Location

Address: 4813 INTEGRITY CT
City: Fredericksburg
State: Virginia
ZIP Code: 22408-1891
Phone: (703) 906-3010

Authorized Official

Name: MR. WILLIE NELSON JR.
Title: ADMINISTRATOR
Phone: (703) 906-3010

Specialties & Taxonomy Codes

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

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