| NPI | 1912189101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEE MORRISSEY Owner/CEO 804-400-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 524-01-001) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |