| NPI | 1952429391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE DENARD MITCHELL CEO 434-774-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-643) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-01-03 |