| NPI | 1023343670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C HINDS Owner 434-258-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1248-01-001) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |