| NPI | 1043693989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MOORE CEO 804-605-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251B00000X Case Management | |
| 363L00000X Nurse Practitioner | |
| 101YM0800X Counselor, Mental Health | |
| 163WH0200X Registered Nurse, Home Health | |
| 163WR0400X Registered Nurse, Rehabilitation | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 163W00000X Registered Nurse | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 163WC0400X Registered Nurse, Case Management | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2025-11-21 |