| NPI | 1215389200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIFUKAT ADEOLA ADEYEMI Program Director 804-833-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2471) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |