| NPI | 1457685802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERWIN HICKMAN Owner 804-677-8307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 790) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |