| NPI | 1346579042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A JONES Co Owner 804-519-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1503) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2022-03-28 |