| NPI | 1376856930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L FIELDS Chief Executive Officer 276-728-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1282-01-001) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |