| NPI | 1043077670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA MEREDITH Manager, Owner 757-510-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2025-02-21 |