| NPI | 1023025335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M. VERILLA Director 434-332-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VA 54790005K) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |