| NPI | 1386233419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T'ANDREA LENON GRAHAM Executive Director/Owner 804-605-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |