| NPI | 1679905269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN STERLING HAWKINS Direct/Owner 757-572-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2014-12-05 |