| NPI | 1831758507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDYCE RIVES Executive Director 804-550-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |