| NPI | 1376178079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SCOTT CEO 757-621-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |