| NPI | 1477125854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA YVETTE BELL Chief Executive Officer 757-801-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-02-15 |