| NPI | 1073279170 |
|---|---|
| Doing Business As | VIRGINIA HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRYAN HAYNES CEO 276-496-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |