| NPI | 1922554393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEYINKA RITA OSOSANYA Chief Executive Officer 757-746-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2476) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |