| NPI | 1033434279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE JOSEPH CONTI Owner 434-293-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 472-14-001) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 472-14-001) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |