NPI | 1699910364 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMALITA YVONNE KOVACH-WATTS Office Manager 757-499-5066 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2008-12-10 |
Last Update Date | 2008-12-11 |