| NPI | 1962852343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS IRIA AIKHU Executive Director 757-228-5893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2280) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |