| NPI | 1750525846 |
|---|---|
| Other Name | PETERSBURG INTENSIVE IN HOME |
| Entity Type | Organization |
| Authorized Contact | FRANKO BRITT Executive Director 804-745-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 590-05-001) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2023-02-08 |