| NPI | 1720474901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MITCHELL Owner 804-683-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2247) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-09-10 |