| NPI | 1982804308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD GAY Chief Executive Officer 804-943-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-03-21 |