| NPI | 1689101636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADYA SENIA Co Owner/ CFO 804-299-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X (Licence: VA 2179) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2022-04-06 |