| NPI | 1598527731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLEMAN MUNDIE Owner 804-929-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2025-05-13 |