| NPI | 1386208270 |
|---|---|
| Doing Business As | SOUTHSIDE GROUP HOMES |
| Entity Type | Organization |
| Authorized Contact | LISA ANN ILAPIT Owner 757-362-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |