| NPI | 1528292786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA J BULLARD Owner 804-523-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |