| NPI | 1699418012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SMITH Director/Owner 434-849-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-25 |