| NPI | 1992853436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE C WYMAN Director/CEO 540-829-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 993-14-001) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-01-26 |