| NPI | 1578896171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERODNICKER T BROWN CAO 804-267-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 126614001) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |