| NPI | 1659423200 |
|---|---|
| Doing Business As | HOMEBASE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOEL BRADLEY FINK Homebase Program Director 757-455-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 185) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |