| NPI | 1598803124 |
|---|---|
| Other Name | SISTER'S PLACE GROUP HOME I |
| Entity Type | Organization |
| Authorized Contact | DEBORAH MALONE RALPH Director Of Clinical Services 804-901-3122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-04-09) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-212-07) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2008-08-04 |