| NPI | 1730239922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA LANE Director, Accounts Receivable 540-542-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 030-14-001) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-10-18 |