Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mental Retardation Wavier Program

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1477748531

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

In the registry since
2007

Practice location Address checks out

2100 Comer Ave
Columbus, GA 31904-8725
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 number1477748531
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNew Horizons Communtiy Service Board
Authorized official Perry Alexander — Ceo · (706) 596-5582
NPI enumeratedSeptember 12, 2007
Last updated in NPPESSeptember 12, 2007
Mailing address2100 Comer Ave, Columbus, GA 31904-8725

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