| NPI | 1063514925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T SCHREIBER President/CEO 757-468-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0801X (Licence: VA 0007098011) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-01-15 |