| NPI | 1891008710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY HARTENSE SCOTT Owner 804-862-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 1265) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |