| NPI | 1356058812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA MAULL Administrator 757-319-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |