| NPI | 1538949854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA STEWART Executive Director 757-402-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |