| NPI | 1235527953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MOORE Agency Adminstrator 757-319-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 04613) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |