| NPI | 1548862824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNARD DRUMGOLD CEO 804-591-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2023-11-28 |