| NPI | 1982801627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA LOVE HICKS CEO 804-329-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-180-07) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-08-07 |