| NPI | 1184138448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EALY Chief Management Officer 804-550-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: VA 0701006356) | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 183700000X Pharmacy Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2018-05-18 |