| NPI | 1992487474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA ANITA COLLINS Owner 757-773-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |