NPI | 1073883518 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMON RASHAAN THOMPSON CEO 804-986-6332 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: VA 1761-02-029) |
Additional Taxonomies | 251S00000X (Licence: VA 1761-02-014) |
251S00000X (Licence: VA 1761-03-001) | |
Enumeration Date | 2011-12-30 |
Last Update Date | 2015-11-09 |