| NPI | 1124107966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE C. WOODLEY Program Director 804-756-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |