| NPI | 1023187200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMARN BERNARD THORPE Cheif Executive Officer 804-674-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 320800000X) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |