| NPI | 1033365499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE B BURNETTE Virginia Waiver Service Facilitator 434-728-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 0001093048) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |