| NPI | 1811677719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENIQUE LONEY Director Of Program/CEO 804-247-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |