| NPI | 1356711287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE LOUISE HOLLAND Service Ficilitators 276-732-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 0164618495) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |