| NPI | 1932077187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA S BATTLE CAO 757-839-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |