| NPI | 1407175961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDORA DALTON Director 540-588-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |