NPI | 1144686965 |
---|---|
Entity Type | Organization |
Authorized Contact | EULAMAE RUTLEDGE MYERS President / C.E.O. 757-965-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 60802006) |
Enumeration Date | 2016-01-08 |
Last Update Date | 2016-01-08 |