| NPI | 1609465400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA STREETT-LAWRENCE CEO 757-544-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |