| NPI | 1538410485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA J THOMAS-OLIVER Owner /Director 804-617-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1235) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |