| NPI | 1023188620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LESLIE ASHFORD Owner 804-283-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 806) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-10-29 |