| NPI | 1093282790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FREDERICK CEO 804-716-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2026-02-24 |