| NPI | 1619687720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTA HARRIS Nursing Director 804-616-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-12-08 |