| NPI | 1447717079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YINKA LAWAL Md 804-720-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2024-11-26 |