| NPI | 1760103543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PHILLIPS Executive Director 757-289-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-09 |