| NPI | 1558751750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA LAFONDA CLARK-SAVAGE Owner/CEO 804-504-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2017-02-23 |