| NPI | 1508693052 |
|---|---|
| Former Legal Business Name | PACE BEHAVIORAL HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | KICHIA FISHER CEO/CFO Owner 804-502-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-12-10 |