| NPI | 1891764882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MICHELLE COOK Chief Exectuive Officer 804-276-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 320-2006) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |