| NPI | 1366866659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA BYRD Owner/Operator 804-222-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA 0158053741) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: VA 0156636778) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |