| NPI | 1386895258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAROME ANTOINE KENNEY CEO 804-257-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 349-14-002) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |