OrganizationActive
Madam Patricia Children Foundation
NPI 1992547277 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Johnson City, TN
Provider details
- NPI number
- 1992547277
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Rev Leonard Chukwujioke-Mbiha, Healthcare Administrator
Practice location
734 W Locust St
Johnson City, TN 37604-6504
Phone: (703) 814-6748
Fax: (571) 441-0861
Mailing address
303 Blue Ridge Ave
Front Royal, VA 22630-3005
Registry dates
- Enumerated
- 2024-06-08
- Last updated
- 2024-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.