| NPI | 1285442665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DAYTON Owner 757-272-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-02-20 |