| NPI | 1124363320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BROWN Owner 434-229-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2116-01-001) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |