| NPI | 1649205212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DOYLE Credentialing Specialist 540-887-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-02-09 |