| NPI | 1013139690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE T BROWN Owner 804-732-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 426-01-001) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |