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 |