| NPI | 1992724561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THALIA SIMPSON-CLEMENT Va. State Director 703-914-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 194-01-001) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 194-01-001) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-09-11 |