| NPI | 1215360706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVELAND THOMAS WALKER CEO 804-451-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2016) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |