| NPI | 1740766161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE HARRIS Director Of Services 804-909-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |