| NPI | 1346806825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BARTON Executive Director 757-323-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |