| NPI | 1871443598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL TAMRA THOMPSON Co Owner 757-992-6732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-02-02 |