| NPI | 1780085423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERONDA W WINGO CEO/Owner 540-412-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |