| NPI | 1477705176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TRACCINNIEA REAVES Director 434-237-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-04-47) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-381/4271-08) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |