| NPI | 1104346238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BELIN CEO 757-581-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2313-01-001) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |