| NPI | 1164675385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVELAND HILL CFO 804-525-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA s1895533) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |