| NPI | 1124087010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS REDD CEO 804-543-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 49201) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |