| NPI | 1083640676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANY V. MURPHY Executive Director 757-850-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 754-01-001) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |