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 |