| NPI | 1902031503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETTA PORTER JONES CAO/Director 804-562-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 1183786) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |