| NPI | 1194809350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE HILLIARD Executive Director 757-773-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 670-14001) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |