Mental Retardation Wavier Program

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1245425529

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

In the registry since: 2007

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Practice location Address checks out

Highway 27 S
Lumpkin, GA 31815
Phone: (706) 596-5583
Fax: (706) 596-5589

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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	1245425529
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Perry Alexander — Ceo · (706) 596-5582
NPI enumerated	September 11, 2007
Last updated in NPPES	September 12, 2007
Mailing address	2100 Comer Ave, Columbus, GA 31904-8725