T'lab, Inc.

NPI #1679939169 in Petersburg, Virginia

Provider Information

NPI Number: 1679939169
Entity Type: Organization
Organization Name: T'lab, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 13, 2016
Last Updated: Jan 13, 2016

Practice Location

Address: 823 S JONES ST
City: Petersburg
State: Virginia
ZIP Code: 23803-4952
Phone: (804) 590-2227

Authorized Official

Name: JANINE JOHNSON
Title: EXECUTIVE DIRECTOR
Phone: (804) 721-6861

Specialties & Taxonomy Codes

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

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