| NPI | 1609034909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE M SHAIA Accounting Manager 804-754-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: FL 1113ad990301) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |