| NPI | 1336619667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MELLUSI CEO 434-983-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |