| NPI | 1114644309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHOMAS HODGE Chief Executive Officer 757-579-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2026-02-25 |