NPI | 1205118064 |
---|---|
Doing Business As | DEET GROUP HOME |
Entity Type | Organization |
Authorized Contact | AMINATA WILLIAMS Director 804-252-9391 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1363) |
Enumeration Date | 2011-09-16 |
Last Update Date | 2011-09-16 |