| NPI | 1619654746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARA MEADOWS Executive Director 804-704-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-11-21 |