| NPI | 1326456179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCISLOWICZ Executive Director 757-819-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: VA 141-01-002) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |