| NPI | 1083620744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEAVELLE COX Director 804-675-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: VA 579) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |