| NPI | 1790742153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE WICKENS Executive Director 540-373-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 101YM0800X Counselor, Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-03-25 |