| NPI | 1922815778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMIA A GILLON Executive Director 757-732-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |