NPI | 1891192795 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA ANTOINETTE WEST Director 757-487-6441 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2014-11-21 |
Last Update Date | 2014-11-21 |