| NPI | 1558635177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN CONNER Office Manager 540-586-1978 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA CO-389-11) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |