| NPI | 1538037262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY WENDELL ALLEN Manager/Member 804-358-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |