| NPI | 1578040051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA EVETTE COLEMAN Chief Exective Officer 757-342-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |