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