| NPI | 1588737837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE M BLACKWELL Owner 804-452-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 664-14-001) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |