| NPI | 1144526955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE BANKS Executive Director 757-724-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 144401001) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |