| NPI | 1457976631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIS F. BROOKS Clinical Director 804-638-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |