| NPI | 1104539238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SPELLS Owner/Director 757-876-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-09 |