| NPI | 1063046159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SHAW TAYLOR Qmhp 757-386-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |