| NPI | 1255143681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONNE RENEE JACKSON Director 804-402-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-06-02 |