| NPI | 1861816373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY REDD President 804-313-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 1501) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2024-04-18 |