| NPI | 1083647796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WRIGHT Executive Director President 276-395-7486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 409) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |