| NPI | 1154654705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON E DORTON Financial Syst EMS Specialist 804-365-4576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2024-03-20 |