NPI | 1548520539 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANTELL J MALACHI Co Founder/Executive Director 804-502-3229 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: VA 1869) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2013-08-28 |