| NPI | 1760147391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MOORE Owner 804-605-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2023-03-03 |