| NPI | 1699589010 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | OLUFUNMI JOHNSON CEO 804-833-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |