| NPI | 1801124607 |
|---|---|
| Doing Business As | ULTIMATE OUTCOMES THERAPUETIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BAZEMORE Administrator 804-213-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 46403001) |
| Additional Taxonomies | 251S00000X (Licence: VA 46405001) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2019-05-02 |