| NPI | 1881936748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNORA B. MASON Program Administrator 757-342-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2025-09-02 |