| NPI | 1467242370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUELL WILSON Owner 804-866-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |