| NPI | 1346686052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DENISE BOND CEO 757-403-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1408) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |