| NPI | 1477321743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL TIMMS COO 804-914-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |