| NPI | 1346418316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C FARLEY Executive Director 804-457-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS19405) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS25005) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS38007) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |