| NPI | 1124295530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVANUS N. THROWER Executive Director 804-647-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA SS-273-05) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-20 |