OrganizationActive
Aa Mother LLC
NPI 1962190801 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Triangle, VA
Provider details
- NPI number
- 1962190801
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Henriette Pouatene, Administrator
Mailing address
19004 Queen Dr
Triangle, VA 22172-2119
Registry dates
- Enumerated
- 2023-04-28
- Last updated
- 2023-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.