| NPI | 1922875251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHNSON Co Owner 757-477-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-01-20 |