| NPI | 1184180085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIO L WATERS Administrator 757-652-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |