| NPI | 1528481678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVIS CEO 804-691-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2194) |
| Enumeration Date | 2014-01-26 |
| Last Update Date | 2014-01-26 |