| NPI | 1740145044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAE DICKERSON Manager 804-605-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |