| NPI | 1417260357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA JUDON-WINSTON Owner/Administrator 804-908-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1212-01-001) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |