| NPI | 1982837944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY BARKINS Cheif Administrative Officer 804-665-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1059 14-001) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |