| NPI | 1487737086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FARAGHER Clinician 804-282-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 0701003176) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |