| NPI | 1700021722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE M MACK-MATTHEWS Chief Financial Officer 757-737-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 1036) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |