| NPI | 1003259771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F RIEDLER President 757-373-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 0101054894) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-07-18 |