| NPI | 1801108899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL LIVERMAN Owner 757-305-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 1355) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |