| NPI | 1528204302 |
|---|---|
| Doing Business As | QUEENS HOUSE |
| Entity Type | Organization |
| Authorized Contact | BAFFOUR EDUSEI OPOKU Chief Administrative Officer 757-469-0517 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 896-14-002) |
| Enumeration Date | 2008-12-27 |
| Last Update Date | 2008-12-27 |