| NPI | 1811447485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHMELL DASH COO 571-279-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2541) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |