| NPI | 1356168660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY VANLOW Owner 804-874-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |