| 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 |