| NPI | 1316715691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON COOPER-LEWIS Service Facilitator 757-239-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-01-14 |