| NPI | 1598235731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE SVAGE CEO 757-335-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2022-08-04 |