| NPI | 1760716229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVIN BLANDFORD Owner/Director 804-605-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1063-14-001) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2011-02-16 |