| NPI | 1780466326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELENE MEDLEY CEO 757-739-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |