| NPI | 1255455002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PORTER COLES Cheif Administrative Officer 804-795-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 87214001) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |