Mental Retardation Waiver Program

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1467647875

Mental Retardation Waiver Program is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cuthbert, Georgia. Registered with an NPI since 2007.

In the registry since: 2007

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Practice location Address checks out

119 Claborn St
Cuthbert, GA 39840
Phone: (706) 596-5583

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1467647875
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Perry Alexander — Ceo · (706) 596-5582
NPI enumerated	September 10, 2007
Last updated in NPPES	September 13, 2007
Mailing address	2100 Comer Ave, Columbus, GA 31904-8725