| NPI | 1700957883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERESEA LASHA FORD Owner 804-269-0915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-08-22 |