| NPI | 1831254119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY M COOK Chief Executive Offier 804-276-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS06320) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |