Mountain Laurel Group, LLC
NPI #1750596441 in Culpeper, Virginia
Provider Information
- NPI Number
- 1750596441
- Entity Type
- Organization
- Organization Name
- Mountain Laurel Group, LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- May 14, 2007
- Last Updated
- Nov 20, 2007
Practice Location
Authorized Official
- Name
- MR. BRUCE CHARLES WYMAN, LPC
- Title
- CEO
- Phone
- (540) 829-1789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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