| NPI | 1518692763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS SPRUILL Member 804-625-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-01-30 |