| NPI | 1881145324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUREACIA D.N. PARKER Chief Executive Officer 804-307-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| 302R00000X Health Maintenance Organization | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |