| NPI | 1932282142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMALA BENJAMIN Program Director 804-342-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 683-14-001) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |