NPI | 1669557989 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON WESTBERRY SAPP President/Director 540-288-1699 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 496) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2020-08-22 |