| NPI | 1912020678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SYLVESTER NEWMAN C.A.O. 804-370-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: VA 662-14-001) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |