| NPI | 1619360013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA LATRESE DEJOHNETTE Executive Director 804-218-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 213416003) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |