| NPI | 1063723294 |
|---|---|
| Doing Business As | CCBS OF VIRGINIA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LORRAINE HASSOUNA President 804-405-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |