| NPI | 1396181020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY TANEIL FEREBEE Executive Director 757-927-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |