| NPI | 1285902320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASCAL THEBAUD Executive Director 804-721-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 139901001) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |