| NPI | 1003526070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DECKION CALLIS CEO 804-728-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |