| NPI | 1982713152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE COLLINS Vice President Administrator 276-395-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 45101001) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |