| NPI | 1609514728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELONTE TREQUAN JONES Bcba 434-610-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |