| NPI | 1639801707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MONIQUE GAINES Owner 757-582-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |