| NPI | 1952621526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GREENE CEO 804-439-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |