| NPI | 1518718147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRA MOSTAFA ABDELMAGID Business Partner 804-873-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |