| NPI | 1255793048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE EDWARDS CEO / Owner 804-922-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-12-14 |