| NPI | 1265216386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON CULLY CFO 804-248-1714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2026-02-19 |