| NPI | 1801184619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAQUISA SIMMONS CEO 757-404-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 0904006264) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 0904006264) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |