| NPI | 1003511635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA GRIMES Owner 804-647-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |