| NPI | 1568698165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE LOVE President 804-307-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA CO-384-08) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |