| NPI | 1285930198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE BROWN CEO/Program Admin 757-560-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1484) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |