| NPI | 1376188912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K PEREZ CEO/Nurse 804-721-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-11-08 |