NPI | 1083852867 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES LEE TENNANT Sole Propritor 540-969-6779 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2009-02-02 |
Last Update Date | 2022-07-21 |