| NPI | 1104663434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERNE REED Program Director 804-878-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2025-01-18 |