| NPI | 1992560882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA HART WEEMS Member 757-254-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-03-25 |