| NPI | 1306281779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMMALYN ANONUEVO HEWLETT Executive Director 757-471-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 173701001) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |