| NPI | 1578713483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE THEODORE THOMAS Owner 804-986-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2016-10-25 |