| NPI | 1417546417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LAWSON CHUKWUDI Director 757-575-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 310400000X Assisted Living Facility | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2024-08-21 |