| NPI | 1598572109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMYATTA RIVERS Owner 757-996-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |