| NPI | 1578796611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA SIMPKINS Administrator 757-467-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1028) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |