NPI | 1124165071 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GORDON CHRISTMAS Chief Executive Officer 804-304-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA SS-333-06) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |