NPI | 1720225246 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GORDON CHRISTMAS COO 804-683-6590 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1153) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2009-01-21 |
Last Update Date | 2025-04-22 |