| NPI | 1043992241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOLA OLASIMBO TALABI Director 757-776-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |