| NPI | 1821491986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA DELPHINE DYKE CEO 757-951-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2327) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |