| NPI | 1336330935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EUGENE GLOVER Cheif Administrative Officer 804-644-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA ss35507) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |