| NPI | 1780380691 |
|---|---|
| Other Name | PROLIFIC LIFE SERVICES |
| Entity Type | Organization |
| Authorized Contact | DARIUS ROBINSON Program Manager 804-234-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-11-15 |