| NPI | 1841982584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARISSE STEPHANIE MARROW CEO/Owner 757-358-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |