Organization
THE CLAYE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C. WAGONER JR. (PRESIDENT)
(276) 666-2424
Entity
Organization
Contact information
Practice address
139 MICA RD, RIDGEWAY, VA 24148-4622
(276) 666-2424
(276) 666-4515
Mailing address
PO BOX 899, RIDGEWAY, VA 24148-0899
(276) 666-2424
(276) 666-4515
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
166
VA
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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