| NPI | 1730012477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATARSHA DREUITT Owner 757-563-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-03 |