| NPI | 1326133703 |
|---|---|
| Other Name | LIFE COACH |
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALEXANDER PARSON Executive Director 804-310-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |