| NPI | 1093110439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRISH CAINE Executive Director 757-729-0009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1956) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |