| NPI | 1891404695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAJADA C HODGES Owner 757-917-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |