| NPI | 1073364931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHENA WINFIELD CEO 757-994-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-04-03 |