| NPI | 1659081727 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | SAMONE RUFFIN Executive Director 804-919-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |