| NPI | 1609029172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELOVE LADAWN BROWN Owner 757-818-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 1052-14-001) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |