| NPI | 1871099721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BOLTON Chief Administrative Officer 804-402-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 3189-14-008) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2018-03-31 |