| NPI | 1679728653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAVONNE ANDREA WILLIAMS Executive Director 757-328-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2010-09-02 |