NPI | 1396465613 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDALL LANGFORD Owner 804-943-1107 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-08-29 |