| NPI | 1306377114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYODE OWODUNNI Program Director 804-536-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1668) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |