| NPI | 1649341611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURLEY VP Admin, CFO 703-842-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 058-01-019) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-01-09 |