| NPI | 1689687832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE R GUESS Executive Director 757-477-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 701) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |