| NPI | 1326675497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA STAR WILLS Owner 804-715-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-05-29 |