NPI | 1184745564 |
---|---|
Entity Type | Organization |
Authorized Contact | KATERESEA LASHA FORD Owner 804-683-8608 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-08-22 |