| NPI | 1124283338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CHRISTINE MCCREARY CEO/President 804-502-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1109) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |