| NPI | 1235814765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JONES-SHENJOBI Owner/Director 804-663-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-06-27 |