| NPI | 1710583224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYLA BLONDELL JOHNSON CEO 804-967-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |