| NPI | 1043659378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO MENDOZA DELA CRUZ Administrator / COO 757-650-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 1958) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |