| NPI | 1407939655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH RODNEY BROOKS Chief Administrative Officer 804-343-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 0021836400) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |