NPI | 1730552407 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN EUGENE CRAWFORD CEO/President 804-840-4240 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 22901-01-001) |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |