| NPI | 1154512721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA MONIQUE WRIGHT Owner 804-651-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-337-07) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |