| NPI | 1548580400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LEWIS DABNEY Provider 804-863-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1370) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |