| NPI | 1831572304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA LEVETTE LEE CEO/Executive Director 757-572-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 2242) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VA 0710102165) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 0710102165) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-03-02 |