Organization
PEACE OF MIND RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEXERIA JACKSON (ADMINISTRATOR)
(646) 671-0516
Entity
Organization
Contact information
Practice address
17 PINEHURST LN, STAFFORD, VA 22554-7288
(646) 671-0516
Mailing address
17 PINEHURST LN, STAFFORD, VA 22554-7288
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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