| NPI | 1407134885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE SOVEK CORNETT Care Coordinator 757-525-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 0001193123) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2013-06-26 |