| NPI | 1306096649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M. HECTOR Administrator 757-393-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 731-01-001) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |