| NPI | 1730495482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ONEAL HASKETT Owner 804-986-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |