| NPI | 1598647299 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | MEGAN CROMWELL Owner 757-943-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |