| NPI | 1013116326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MILAND AUSTIN Owner 540-904-7187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: VA 0104001381) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |