| NPI | 1093493306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENIKA STARKS CEO 804-926-0271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |