| NPI | 1043280415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY TRAVIS Bureau Chief 703-228-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 251B00000X Case Management (Licence: VA 112) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 112) | |
| 251K00000X Public Health or Welfare (Licence: VA 112) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-12-07 |