| NPI | 1447041504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEARY WILLIAMS Co Owner 757-609-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |