| NPI | 1730326703 |
|---|---|
| Doing Business As | TEEN OPTION |
| Entity Type | Organization |
| Authorized Contact | GRACE ILORI Director 804-745-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 57414001) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 57414001) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |