| NPI | 1538054051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEV BALAN Owner 804-822-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-17 |