| NPI | 1780809871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E ERB Executive Director 757-287-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 408) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |