| NPI | 1780322305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN ERROL CONYERS CEO 757-268-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-11-03 |