| NPI | 1891752879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MILLER President 540-293-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 759) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 759-02008) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-09-22 |