| NPI | 1346551652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN P CHIZUK Director Of Residential Services 804-440-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 29507001) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2020-09-24 |