Organization
G&G RESPITE SERVICES
Active
Parent organization
G&G RESPITE SERVICES
Other names
G&G Respite services
Organization subpart
Yes
Provider details
NPI number
Legal business name
G&G RESPITE SERVICES
Authorized official
MS. GRACE VUMAH MBENGABONG (REHAB.SPECIALIST)
(703) 973-8821
Entity
Organization
Contact information
Practice address
2810 BURROUGH HILL LN, WOODBRIDGE, VA 22191-5155
(703) 973-8821
(703) 796-9615
Mailing address
2810 BURROUGH HILL LN, WOODBRIDGE, VA 22191-5155
(703) 973-8821
(703) 796-9615
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
DC
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/06/2009
Last updated
09/06/2009
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