| 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 |