| NPI | 1265325757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JONES Owner, Director 804-805-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |