| NPI | 1700022506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE YVETTE PARHAM CEO 804-677-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |