NPI | 1588812887 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN A LAPRAD Executive Director 540-797-2925 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1197-01-001) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2008-08-29 |