| NPI | 1891938650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN C WILKINS Owener 804-745-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |