| NPI | 1992300305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SHEVONNE ROBINSON Executive Director 804-631-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |