| NPI | 1154476307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELESHIA RENEE WILLIAMS President 757-543-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-181-05) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |