| NPI | 1487730743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURLEY VP Admin, CFO 703-842-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: VA 05801003) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2018-01-09 |