| NPI | 1235613357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE M BLOCKER-REEVES Program Directior/Co Owner 757-405-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |