| NPI | 1205307329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SONIA BYNUM-DOLES Owner/Program Director 757-642-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |