| NPI | 1962280727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEE CLARK Executive D Irector 804-305-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |