NPI | 1649707837 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE BROOKS Owner/CEO 757-717-7597 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-05-18 |
Last Update Date | 2017-05-18 |