| NPI | 1134374622 |
|---|---|
| Doing Business As | ALPHA HOUSE I / ALPHA HOUSE II |
| Entity Type | Organization |
| Authorized Contact | JOY M. COMBS-MARSHALL Director 804-862-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA SS164/326-08, SS1410) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA SS14106, SS164/32608) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |