| NPI | 1750698189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTA REID Professional 757-237-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 214061) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |