| NPI | 1912205568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKKA MICHELLE HINTON Chief Director Of Operations 757-354-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1397) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 1397) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |