| NPI | 1891863973 |
|---|---|
| Doing Business As | CORINE'S PLACE |
| Entity Type | Organization |
| Authorized Contact | LEOLIA BROWN Administrator Executive Director 757-513-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |