| NPI | 1629515929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN BROWN Qidp 757-739-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2585) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2018-10-22 |