| NPI | 1972768323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKIMBALYNN MONEEK PARKER Human Resource Director 757-851-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA CO-404-08) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |