| NPI | 1356848055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS BARNES Owner 757-822-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |