| NPI | 1205496270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFFIE FINLEY Clinical Director 757-235-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |