| NPI | 1194147660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE D CULLIFER Executive Director 757-585-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2022-12-14 |