| NPI | 1700763935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE JOHNSON Administrator 804-874-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |