| NPI | 1295433969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUNISE PETIT CEO/Owner 540-317-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |