| NPI | 1679405252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TERRELL CEO 757-403-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-05-30 |
| Last Update Date | 2026-05-30 |