| NPI | 1487954681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON F DAVIS President 757-224-5698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1187) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |