| NPI | 1366188914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAJUAN ARKALLE HOOPER CEO 804-721-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-10-29 |