| NPI | 1063673341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN YOUNG Chief Administrative Officer 804-839-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 868-01-001) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-20 |