| NPI | 1992979363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALJANON WILLS Director 804-358-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 991-01-001) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-06-25 |