| NPI | 1073374674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINIECK CHANEY Owner 804-263-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |