| NPI | 1134947625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE JENKINS Owner 757-758-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 273Y00000X Rehabilitation Unit | |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2025-07-09 |