| NPI | 1750823399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANI KATANGA TAYLOR Program Manager/Owner 804-433-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA CRF474) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-12-06 |