NPI | 1053486621 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN W.. RICHERSON President & Executive Director 540-389-5468 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 229-01-001) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2008-07-15 |