| NPI | 1508258617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZURIEL SMITH CEO 804-517-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |