| NPI | 1023454394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALDA CLAIBORNE Executive Director 757-725-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 585-08-013) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |