| NPI | 1154182475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE VICTORIA DOUGHTY Execuitve Director/Owner 757-403-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |