| NPI | 1457791840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE MATTHEWS Director 757-706-3382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 990) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |