| NPI | 1891469201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINE E MALFITANO Executive Director 757-807-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-16 |