| NPI | 1447121850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYTAN SUSS CEO 804-214-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-12-26 |