| NPI | 1255136123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA DANELLE JONES Executive Director 757-355-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2025-02-15 |
| Last Update Date | 2025-03-17 |