| NPI | 1801097753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL LUCRETIA GAY Executive Director 757-766-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA 106176) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-07-11 |