| NPI | 1184037764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANISHA CHRISTINE DAILEY CEO 757-770-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2015-02-10 |