| NPI | 1174817050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVELAND L. HILL Owner 804-525-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 905-01-001) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |