NPI | 1033991666 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA FLAKE Program Director 757-692-2767 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-11-13 |