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 |