| NPI | 1689023111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY POITTILO HUNT CEO 757-450-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-07-21 |