| NPI | 1922519826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JANE JONES Deputy Director 434-981-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 069801001) |
| Additional Taxonomies | 174200000X |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-06-16 |