| NPI | 1316295843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY REDD CEO/President 804-313-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-04-18 |