| NPI | 1821655432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EUGENE MASSENBURG President 804-301-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-02-28 |