| NPI | 1760009765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MARIE FUNKHOUSER Chief Executive Officer 540-686-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-05-16 |