| NPI | 1376345280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRMAN SITAULA Managing Director 757-289-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |