| NPI | 1649504333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS REDD CEO 804-359-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1523-01-001) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 1523-01-001) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |