| NPI | 1457843260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HOLMES WARREN Consumer Direct Service Facilitator 540-373-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |