| NPI | 1679601280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MALONE RALPH Director Of Clinical Services 804-901-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 287-2006) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-08-07 |