| NPI | 1972514016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA YOUNG CEO 757-285-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 510-14-001) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |