| NPI | 1093794877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. HOLLAND Facility Director 804-524-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 28892) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-08-22 |