| NPI | 1043653645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER EDWARD WILLIAMS Owner 804-426-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA CRF-462) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |