| NPI | 1699046094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN P CHIZUK Director Of Community Homes 804-440-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 29514021) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2020-09-24 |