| NPI | 1174469928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MCFADDEN CEO 804-564-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-04-24 |
| Last Update Date | 2026-04-24 |