NPI | 1588196059 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY A MCDANIEL CEO 434-429-5169 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |