| NPI | 1003377680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VESHA JONES President/Owner 757-538-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |