| NPI | 1235902628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTOYA RENEE WARD President 757-762-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-04-22 |