| NPI | 1760015440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH EVERETT Chief Performance & Compliance Offi 703-712-4874 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |