DAMON PETERSON, M.ED, PBSF
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1194042515
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | 148 (VA) |
Frequently Asked Questions
NPI 1194042515 is the National Provider Identifier for DAMON PETERSON, M.ED, PBSF, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Petersburg, VA. This NPI was enumerated on April 24, 2010.
DAMON PETERSON, M.ED, PBSF practices at 24812 BRICKWOOD MEADOW LN, Petersburg, VA 23803.
Quick Facts
- NPI
- 1194042515
- Type
- Individual
- Enumerated
- Apr 24, 2010
- Last Updated
- Apr 24, 2010
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