| NPI | 1992191217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESIA HERRON CEO/President 804-651-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-10-23 |