| NPI | 1356893556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LAMURIEL WHITE Executive Director 757-487-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |