NPI | 1588163695 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMINIQUE ROCHELLE BATTEN CEO 757-371-3362 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: VA 2955) |
Enumeration Date | 2018-02-04 |
Last Update Date | 2018-02-04 |