| NPI | 1851750038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DANIELLE HAIRSTON CEO 434-228-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2020-05-14 |