| NPI | 1538407275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS NEWSOME Executive Director 757-333-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 1990) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |