| NPI | 1447481437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVONNE RAYNE VANCE Executive Director 276-988-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA CO-434-09) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |