| NPI | 1669041026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN AKRAN Program Manager 757-288-0892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |