| NPI | 1134766686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA O FATUYI CEO 804-319-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-02-07 |