| NPI | 1982026704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN FEDNEL DORSAINVILLE Owner 804-892-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2020-01-001) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |