| NPI | 1124722954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADGE F BARNES CEO/Owner 757-589-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |