| NPI | 1245304948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SHELTON Executive Director 804-307-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 88501001) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-09-07 |