MENTAL RETARDATION WAIVER PROGRAM is a community based residential treatment facility, intellectual and/or developmental disabilities in Cuthbert, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MENTAL RETARDATION WAIVER PROGRAM NPI is 1467647875. The provider is registered as an organization entity type.
The provider's business location address is:
119 CLABORN ST.
CUTHBERT, GA
ZIP 39840
Phone: (706) 596-5583
The provider's authorized official is Perry Alexander .
The authorized official title is Ceo and has the following contact phone number (706) 596-5582.
The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/13/2007.