| NPI | 1316066301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAQUISA KATINA SIMMONS CEO 757-673-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |