| NPI | 1962253641 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANTHONY HINES Executive Director 804-337-9048  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251B00000X Case Management | 
| Additional Taxonomies | 172V00000X Community Health Worker | 
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-03-29 | 
| Last Update Date | 2025-01-10 |