| NPI | 1629692884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CHARLES MUKUYE Executive Director 804-304-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |