| NPI | 1801772736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEHINDE OLUFUNMILAYO OYEWOLE Manager 804-585-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |