| NPI | 1891558094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA G HURT CEO 757-288-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |