NPI | 1285838797 |
---|---|
Other Name | LAFAYETTE HOUSE |
Entity Type | Organization |
Authorized Contact | DAMON SUTTON Executive Director 757-623-3184 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 37214001) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2020-08-22 |