| NPI | 1992570972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CARLIE CEO 804-300-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |