| NPI | 1760205793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA WINSTON Owner/CEO 804-653-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |