| NPI | 1710851159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN J NORMAN Owner 757-335-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-11-07 |