| NPI | 1215268693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALEXANDER PARSON CEO 804-230-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 601-14-003) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 601-14-005) |
| 251S00000X (Licence: VA 601-02-014) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-02-12 |