| NPI | 1922655661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SANDERS Director Of Services 804-592-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |