| NPI | 1801223201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNEE RICKS Owner 804-230-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: VA 1068648) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2017-11-06 |