| NPI | 1861149510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZNA KHIMANI Bcba 804-728-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2024-12-10 |