| NPI | 1558133363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DANIELLE WILKINS Owner 757-553-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |