| NPI | 1750781779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM HOWELL Owner 757-423-5892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: VA 0401006193) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |