| NPI | 1558718429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. NEBLETT Vice Pres. Program Dir. 804-433-7339 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1731) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |