| NPI | 1912003591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN D ZASLER CEO 804-270-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: VA CLO06286) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-01-12 |