| NPI | 1184476160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN NICOLE LEON Executive Director 757-348-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |