| NPI | 1124191614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY MARK WILLIAMS Executive Director 804-651-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 895-14-00) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |