| NPI | 1508487901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHRISTMAS Clinical Director 804-230-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-09-19 |