# PALMER SPRINGS GROUP HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMER SPRINGS GROUP HOME INC
- **Other names:** Aspire To Blossom
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255493805
- **Legal business name:** PALMER SPRINGS GROUP HOME INC
- **Authorized official:** MR. ADRIAN M KITTRELL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (434) 689-2113

## Contact information

- **Practice address:** 2453 MINERAL SPRINGS RD, BOYDTON, VA 23917-4404
- **Practice address phone:** (434) 689-2113
- **Practice address fax:** (434) 689-3328
- **Mailing address:** 2450 MINERAL SPRINGS RD, BOYDTON, VA 23917-4404
- **Mailing address phone:** (434) 689-2113
- **Mailing address fax:** (434) 689-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 837-01-001 | VA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 05/17/2024