| NPI | 1811046311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WHITTINGHAM Director 804-405-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 70201001) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |