| NPI | 1134600398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE HOLLAND JENNINGS CAO 804-721-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2593) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |