| NPI | 1073788931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIECE MARAGRITA' PAYNE Director 571-330-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist (Licence: VA 2305204162) | |
| 225200000X Physical Therapy Assistant (Licence: VA 2306000431) | |
| 225400000X Rehabilitation Practitioner | |
| 225600000X Dance Therapist | |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier | |
| 225X00000X Occupational Therapist | |
| 235500000X Specialist/Technologist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2019-06-11 |