| NPI | 1902499601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL KEARNEY Director 757-469-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-02-15 |