THE SECRET PLACE
NPI 1790094241
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vidalia, GA
About The Secret Place NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE SECRET PLACE (NPI 1790094241) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Vidalia, Georgia and active in the NPI registry since October 2010. The organization lists Chauncy Denette Montgomery, Owner/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Other Names 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chauncy Montgomery's NPI number?
The NPI number for Chauncy Montgomery is 1790094241. It was assigned to this organization in the NPPES registry on October 1, 2010. The provider is doing business as The Secret Place.
Where is Chauncy Montgomery located?
Chauncy Montgomery is located at 1114 Jr Rollins Rd, Vidalia, GA 30474. The listed phone number is (912) 537-4143.
What is Chauncy Montgomery's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Chauncy Montgomery was last updated on October 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.
