| NPI | 1215165451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIS HOLDER Counselor Coordinator 757-488-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |