| NPI | 1376107201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEAEIRA WHITE Owner 434-429-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2021-09-10 |