| NPI | 1679863781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA RENEE TAYLOR-BUSH CEO 757-735-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0710102607) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 0715005473) |
| 251S00000X Community/Behavioral Health (Licence: VA 110909B) | |
| 251S00000X Community/Behavioral Health (Licence: VA 0715005473) | |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2011-04-10 |