| NPI | 1063609659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY EMMA HARRIS Office Clerk 804-861-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-10-25 |