| NPI | 1831445626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL MONTRELL HARRIS Administrator 757-809-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA HCO-13859) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO-13859) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2014-12-02 |