| NPI | 1568033306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN WAITERS Director Of Operations 540-226-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |