| NPI | 1629472378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD DEAN OGBURN Owner/Case Manager 804-262-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 0164801422) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |