| NPI | 1114101342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA T GRACIA Executive Director 804-306-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 89305001) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |