| NPI | 1093693392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE THORNHILL Administrative Director 540-904-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |