| NPI | 1922579184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADEVA MIKITA LOVE Executive Director 804-980-9347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |