| NPI | 1164517157 |
|---|---|
| Doing Business As | TRADING AS T/A DOT'S PLACE |
| Entity Type | Organization |
| Authorized Contact | VERONICA HICKS L. HICKS Chief Executive Officer Owner 804-329-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA SS-04-07) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-04-07) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-08-07 |