| NPI | 1518639244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY HAWKINS Administrator 757-790-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |