| NPI | 1780301358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA SWANSON Owner/Director 804-289-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |