| NPI | 1922642529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA MARIA MARTINEZ LOMBARDY Owner 540-661-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |