| NPI | 1669715454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN TANNER President 540-423-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: VA 2701022436) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |