| NPI | 1881459535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST CARLTON CLARE Owner 757-998-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-03-07 |