| NPI | 1538570056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY H JAMES Owner 757-739-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 2202001188) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |