| NPI | 1477307742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIBON SWAINE SPENCE Executive Director/Risk Manager 804-414-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |