| NPI | 1598933111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTINE SMITH GREEN Chief Executive Officer 804-855-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 94414001) |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2008-02-16 |