| NPI | 1083307722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY WIGGINS Owner 757-401-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |