| NPI | 1053641167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA BROWN Owner 804-615-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA co43610) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |