| NPI | 1720162472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G SISK Executive Director 540-382-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-274-06) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-07-21 |