| NPI | 1578168944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE CAMPBELL Vice President 757-254-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |