| NPI | 1871965558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE E BRUTLEY Executive Director 804-549-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2801) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-12-28 |