| NPI | 1841379658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ANDREA CAMPERLENGO President 434-975-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: 0101044562) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-02-12 |