| NPI | 1285957761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO ROUNDTREE Co Owner 703-861-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 954) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |