OrganizationActive
Mountain Laurel Group, LLC
NPI 1750596441 · Emotionally Disturbed Childrens' Residential Treatment Facility · Culpeper, VA
Provider details
- NPI number
- 1750596441
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bruce Wyman, Ceo(540) 829-1789
Specialties & taxonomies
Residential Treatment Facilities
Practice location
16126 Brandy Rd
Culpeper, VA 22701-4622
Phone: (540) 829-1789
Fax: (540) 825-4617
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 507
Culpeper, VA 22701-0507
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.