| NPI | 1851564173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L. THORNTON CEO 804-737-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 892-01-001) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2016-03-04 |