| NPI | 1265833081 |
|---|---|
| Doing Business As | MDEVANS ADULT RESIDENTIAL & DSS TRAINING |
| Entity Type | Organization |
| Authorized Contact | FIATA D JONES Managing Member 757-496-9604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 916149) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |