| NPI | 1154428290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA J HYATT Chief Executive Officer 804-767-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 673-03-001) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-12-23 |