| NPI | 1235976721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALDA V CLAIBORNE Executive Director 757-725-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 225100000X Physical Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-03-03 |