| NPI | 1558167338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY MARIE SHREVE Owner 757-309-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-04-23 |