| NPI | 1013241462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL BRICELAND System Manager 434-947-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 0024079452) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |