NPI | 1346768546 |
---|---|
Other Name | SRSCV |
Entity Type | Organization |
Authorized Contact | AMY ANDERSON DOVE Owner 434-316-3861 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2758) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2022-07-21 |