| NPI | 1346905528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY VINSON CEO 757-724-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2023-02-16 |