| NPI | 1952027625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX KUHBILA MUTIA CEO 757-338-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |