| NPI | 1093740482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MOORE CFO 757-391-6734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 299-14-001) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-11-18 |