| NPI | 1124221908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO ALLEN Vice President 804-304-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1020) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |