| NPI | 1235329756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN-MUSCAVA ROSE Executive Director 804-644-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2013-04-16 |