NPI | 1164241097 |
---|---|
Entity Type | Organization |
Authorized Contact | SOPHIA LYNN DOUMBIA Director 804-245-5608 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2024-10-08 |
Last Update Date | 2024-10-08 |