| NPI | 1306723259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE WHITNEY Director 757-295-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |