Mountain Laurel Group LLC
NPI #1992853436 in Culpeper, Virginia
Provider Information
- NPI Number
- 1992853436
- Entity Type
- Organization
- Organization Name
- Mountain Laurel Group LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jan 26, 2012
Practice Location
Authorized Official
- Name
- MR. BRUCE C WYMAN, LPC,NCC,EDM
- Title
- DIRECTOR/CEO
- Phone
- (540) 829-1789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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