CHAUNCY MONTGOMERY is a community based residential treatment facility, intellectual and/or developmental disabilities in Vidalia, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHAUNCY MONTGOMERY NPI is 1790094241. The provider is registered as an organization entity type.
The provider Is Doing Business As The Secret Place.
The provider's business location address is:
1114 JR ROLLINS RD
VIDALIA, GA
ZIP 30474-462
Phone: (912) 537-4143
Fax: (912) 537-4143
The provider's authorized official is Chauncy Denette Montgomery .
The authorized official title is Owner/director and has the following contact phone number (912) 347-2399.
The enumeration date for this NPI number is 10/1/2010 and was last updated on 10/1/2010.