| NPI | 1225399249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE YVONNE SEARS CEO/Owner 757-773-9627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1105) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |