| NPI | 1225178312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE JUNIOR PRATT President 804-560-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 0459) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |