| NPI | 1477609048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NETTO Executive Director 804-869-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 497) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |