| NPI | 1710720156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE D PRAYER Owner 757-214-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |