| NPI | 1841965696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON COOK CEO 804-855-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |