| NPI | 1598971079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERAL WARD DIXON C.E.O. 757-567-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: VA 405) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-06-26 |