| NPI | 1841999356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CROSS CEO / Owner 757-617-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |