| NPI | 1134389943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BRATHWAITE Chief Administrative Officer 804-763-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-395/5431-08) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2008-06-15 |