| NPI | 1205049970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN EVON MCCOY Director 757-337-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 74901001) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |