| NPI | 1386081602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONEIKO HENDERSON-BEASLEY Owner 757-287-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |