| NPI | 1356593693 |
|---|---|
| Other Name | ELEVENTH HOUSE |
| Entity Type | Organization |
| Authorized Contact | TRICIA DELANO CEO 804-355-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-11-06 |