| NPI | 1952567182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LYNN PULLIAM Owner 804-562-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-390469208) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |