| NPI | 1548133721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE SAGINI Program Director 804-760-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |