| NPI | 1982241477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN LORENZO MCDANIEL CEO 804-316-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 251V00000X Voluntary or Charitable | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-10 |