| NPI | 1720263254 |
|---|---|
| Other Name | ST. COLETTA DAY SUPPORT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS Director Adult Services 571-438-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 28002006) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-06-18 |