| NPI | 1265677934 |
|---|---|
| Former Legal Business Name | VIRGINIA HOME FOR BOYS |
| Entity Type | Organization |
| Authorized Contact | JOHN BURGETT DOUGHERTY SVP/Chief Administrative Officer 804-270-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 1438-14-001) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA SS-78-07) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2013-09-12 |