| NPI | 1811539083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA RICHARD-JONES Director 757-201-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |