NPI | 1740005545 |
---|---|
Entity Type | Organization |
Authorized Contact | MIEKO A TALIAFERRO CEO 804-986-0365 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2024-11-18 |
Last Update Date | 2024-11-18 |