| NPI | 1235461070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ANN TAYLOR CEO 757-718-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 1339) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2017-10-16 |