| NPI | 1487747135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL H MIRICK CFO 757-497-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |