| NPI | 1861937971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH JACKSON Managing Partner 804-415-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |