| NPI | 1659258283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HARRIS Director 804-480-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |