| NPI | 1033442041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE MEYER-BAN President 804-744-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: VA 0024164681) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |