| NPI | 1659388593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALAUNDA MARCHETTE HARRIS CAO/Pd 804-937-5829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA SS25805) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |