NPI | 1205184157 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS WILKINS Co Owner 804-647-4358 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320700000X Residential Treatment Facility, Physical Disabilities | |
Enumeration Date | 2012-08-27 |
Last Update Date | 2012-08-27 |