| NPI | 1225371743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA R. GAINES CEO 804-852-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1871-01-001) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |