| NPI | 1124347885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR WILKINS YATES Lpn 804-541-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 0002044952) |
| Additional Taxonomies | 251S00000X (Licence: VA 0002044952) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |