| NPI | 1619733862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE MARCUS WALSTON Director 757-270-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-05-15 |