| NPI | 1770003535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE GATLING Administrator 804-648-6924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |