| NPI | 1447227673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI K. HAMED-MOORE Executive Director 540-344-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 021) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2016-03-16 |