Organization
IT'S ABOUT TIME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MITZI JAYNE TUCK BSW QMRP (CEO/ OWNER)
(540) 206-2367
Entity
Organization
Contact information
Practice address
1316 S JEFFERSON ST, ROANOKE, VA 24016-4953
(540) 206-2367
(540) 226-7640
Mailing address
1316 S JEFFERSON ST, ROANOKE, VA 24016-4953
(540) 206-2367
(540) 226-7640
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1113-02-006
VA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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