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Organization
PALMER SPRINGS GROUP HOME INC
Active
Organization
PALMER SPRINGS GROUP HOME INC
Active
Parent organization
PALMER SPRINGS GROUP HOME INC
Other names
Aspire To Blossom
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMER SPRINGS GROUP HOME INC
Authorized official
MR. ADRIAN M KITTRELL (EXECUTIVE DIRECTOR)
(434) 689-2113
Entity
Organization
Contact information
Practice address
2453 MINERAL SPRINGS RD, BOYDTON, VA 23917-4404
(434) 689-2113
(434) 689-3328
Mailing address
2450 MINERAL SPRINGS RD, BOYDTON, VA 23917-4404
(434) 689-2113
(434) 689-3328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
837-01-001
VA
Other
Enumeration date
12/13/2006
Last updated
05/17/2024
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