| NPI | 1689477184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER HOWELL III Co Owner 804-274-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-04-01 |