| NPI | 1861403685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI CONNER Business Development Coordinator 757-393-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 842-02-029) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-03-09 |