| NPI | 1801653803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN GHEE Owner 804-839-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |