| NPI | 1073841649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZANGWILL BLUMBERG CEO 804-314-6925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101028776) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |