| NPI | 1750549770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERITH PEKO Executive Director 757-465-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |