| NPI | 1952106155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVA POPE Owner 804-539-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |