| NPI | 1104006055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RAE MULLINS Chief Executive Officer 757-923-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-241-06) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |