| NPI | 1619323862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA PATRICIA WILLIAMS Substance Abuse Counselor 757-627-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-07-01 |