MENTAL RETARDATION WAIVER PROGRAM
NPI 1740475805
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbus, GA

Q: What is Mental Retardation Waiver Program's NPI number?

The NPI number for Mental Retardation Waiver Program is 1740475805. It was assigned to this organization in the NPPES registry on September 12, 2007.

Q: What is Mental Retardation Waiver Program's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since September 12, 2007

2100 COMER AVE, COLUMBUS, GA 31904(706) 596-5583(706) 596-5589 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mental Retardation Waiver Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENTAL RETARDATION WAIVER PROGRAM (NPI 1740475805) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Columbus, Georgia and active in the NPI registry since September 2007. The organization lists Perry Alexander, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740475805

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameMENTAL RETARDATION WAIVER PROGRAM

Location Address2100 COMER AVEColumbus, GA 31904-8725

Mailing Address2100 Comer AveColumbus, GA 31904-8725 · (706) 596-5583 · Fax (706) 596-5589

Phone(706) 596-5583

Fax(706) 596-5589

Organization SubpartYesParent: New Horizons Community Service Board

Authorized OfficialPerry AlexanderCeo · (706) 596-5582

Enumeration DateSeptember 12, 2007

✔ NPI 1740475805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2100 COMER AVE, Columbus, GA 31904

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE STROTHER

Social Worker