| NPI | 1578651501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L MOORE Executive Director 757-877-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 33305001) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |