| NPI | 1902603434 |
|---|---|
| Doing Business As | IVY ROOTS LLC |
| Entity Type | Organization |
| Authorized Contact | SHANELL JANESE WILLIAMS CEO/ Owner 804-896-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |