| NPI | 1770516148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GILMAN Executive Director 434-316-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 691) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |