| NPI | 1811023997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CAMPBELL CEO 757-237-6962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 861-14-001) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |