| NPI | 1477024388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HINES CEO 757-769-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-03-13 |