| NPI | 1790249670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CHANTELLE BRICKHOUSE Director 757-337-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |