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Search › Virginia › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Damon Peterson, M.ED, PBSF

NPI 1194042515 · on the registry since 2010 · sole proprietor

Practice

Address
24812 Brickwood Meadow Ln
Petersburg, VA 23803
Phone
(804) 861-5201

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia