| NPI | 1912695941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANA WILLIS CEO 757-214-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |