| NPI | 1487800744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE YVONNE EDWARDS Chief Administrative Officer 804-301-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA co39108) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |