| NPI | 1396541439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA LEE WASHINGTON CEO 804-252-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |