| NPI | 1588428635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GRAVES CEO 804-586-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |