| 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 |