| NPI | 1730608217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA WINFIELD Revenue Cycle Manager 804-807-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: VA 100032497) |
| Additional Taxonomies | 251S00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-06-21 |