| NPI | 1417749789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PAIGE Executive Director 804-994-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |