| NPI | 1790065365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RAMSEY Owner 757-610-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1612) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2012-02-13 |