| NPI | 1073157384 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | CHINNY WILLIAMS Executive Director 703-869-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-11-21 |