| NPI | 1528508264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERNITA ARTIS CEO 757-822-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2030-01-001) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |